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iii iiiiiiiium iii <br />MINED LAND RECLAMATION DIVISION N p O O 9O 7 O <br />1313 Sherman <br />Denver, Colorado 80203 DArE ~ ~ ? 19~ <br />(303) 866-3567 $ <br />RECErVED ~ /~ <br />FROM~S ~~i 1 /'S. .: C1~ 5~0. <br />_ i <br />FOR <br />AMOUNT OF ACCOUM .........,$ <br />AMOUNT PAID . .. ....... .... ..Y <br />BALANCE DUE .......... ..... ..S <br />^ CASH <br />^ CHECK <br />/V~/~l rQ/^l 1C ~~UI <br />BY ~~~~ <br />