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<br /> MINED D RECLAMATION DIVISION ~ <br />22932 <br /> _ <br />13-~ Sherman, Rm. 215 <br />Denver, Colorado 80203 _ DATE o7 - ~ / 19 ~ ,3 <br />( Q3) 866-3567 ` ' $~ <br />R <br />EC <br />EIVED f <br />, n ', <br /> ~ <br />O <br />D <br />V(J <br /> Gb <br /> G DOLLARS <br /> <br /> FOR ~// V/ 1 ~~ ~- / ~- 5~ / O ~J7 /7 ^ t~IHOECK <br /> ~ <br /> AMOUNT OF A COU <br />.$ ~ I <br /> AMOUNT PAID...... ...$ <br /> BALANCE DUE .. ............. ..$ BV <br /> <br />