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<br /> MINED LAND RECLAMATION DIVISION A' 0 <br />N <br />O O ~ o `~ <br /> _ <br />1313 Sherman <br />~_ <br />Denier, Colorado SOZI}S - DATE `~ - r ,S t s ~ <br /> (303) 866-3567 $ <br />~ <br /> RECEIVED <br />~ v~ 11L~,. -,-y~.~ ;~> <br />FROM <br /> -{ 1 (+t <br />~ <br />~ <br />~ <br />CC/ <br />~ <br /> l f' DOLLARS <br />~I '~ <br />J <br />~\l" <br />~~t ~ \ ~S C* <br />~ <br /> ^ CASH <br /> ~~'~ _ ~~ = c 9°CHECK <br /> <br /> AMOUNT OF ACCOUNT...........$ ~ <br />Q <br />" <br />U <br />O <br />' <br /> lA <br />Il <br />J <br />lt is J <br />u <br />AMOUNT PAID ................. _$ r, <br /> ~L t <br />~~ . <br />~ ~ ` <br /> ~ <br />- <br />BAIANCE DUE .... ..............$ BY <br />