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i <br /> DIVISIOt `F MINERALS AND GEOLOGY N_ 25700 <br /> DATE '1125 192-,�- <br /> RECFRAOEMIVEO S $ <br /> /� t` RB <br /> ❑ CASH <br /> $CHECK <br /> FORUJ'� o• - -77 ' 4.3ty .35��/ ❑ M.O. <br /> AMOUNT I�ACCOUNT...........$ <br /> AMOUNT PAID...................$ „QW� OU� <br /> BALANCE DUE...................$ BY _ <br />