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<br /> <br /> MINED ' 'D RECLAMATION DIVISION ~ ~ 19352 <br />_.3 Sherman, Rm. ] I S ~ ' <br />Denver, Colorado SC~3 r DATE ~~ ~ i9 IZ <br />(303) 866-3567 = <br />RECEIVED p/~~ ~ <br />~ ~ / , (~ <br />. <br /> , <br />, ~ ~ <br /> ~Y.CJ l3/1 ~ ALi1l ~ ~ I -1 ,Ln ~ y DOLLARS <br /> ^ <br /> ^ CASH <br />~/ /y/ Q~) / <br />FOR Qill~'1 (~ p0 /~ / - O / ' LD IS« aM.O. K <br /> <br /> AMOUNT OF A OUNT .........$ <br />Q~ YL Q I <br /> AMOUNT PAID ....... ...... ....$ <br /> 1 <br />BALANCE DUE .. .. ...... .....$ BY <br /> <br />