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<br />MINED LANC 4CLAMATION DIVISION ' N ~ 18 7 2 4 <br />1313 ...,trman, Rm. 215 <br />~ )/ <br />Denver, Colorado 80103 DATE ~ <br />i s ~ Z <br />_ <br />303) 866-35 $ <br />A <br />RECEIVED (~ ,~ ~,, {~ /1 <br />~1 <br />.~i~~ <br />~ ~ <br />) W.t_X n <br />FROM 1 " ~.f <br />(V ff ~rr'1~ /L~ <br />C~7 %~Z.G~~`1 Y _Q, <br />/ <br />( <br />..Q~, <br />// ^ CASH <br />FDR fp/IL)1 D ~ ~ `/ - ~ ~~~ •8-SIiECK <br />SZ O M.D. <br /> <br />AMOUNT OF CCOUNT $ <br />AMOUNT PAID....... .$ <br />BAIANCE OUE....... ..... .$ BY ' <br /> <br />