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<br /> MINED LAND f LAMATION DIVISION N p 8 9 2 <br />1313 Sherman, Rm. 2t5 <br />Denver, Colorado F9203 DATE ~/" ~ ~ i9~7 ~ <br />_ (303) 866-~G7 //~~ <br />nnvED ~ <br />C~~ <br />~D <br />$ y <br />~ <br />~ <br /> , <br />tl~ C~~ v~Q <br />-. <br />/l <br />Pa <br />o <br /> ~l~ <br />-, l ~ ~ ~ -~~ ~ y ~~-~D~A~ <br /> FORL~9i9'! OO ~/ /3%53 o Mo'K <br /> <br /> AMOUNT OF A COUNT... ... ...$ <br />~~ 'I <br /> AMOUNT PAID. ....... <br /> BALANCE DUE ....... .. .......$ BY <br /> <br />