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DIVISION O" 11NERALS AND GEiiLOGY N ~ 2~`5 6 9 9 <br />DATE~19 ~~ <br />RECENE n C1A'li l~,l .k.~'1.~==~. ~~ . $~ <br />FROM ~ b~l <br />it .r I. n n ~- .,~ 1 '. _ Q~/ <br />^ CABH <br />~-6HECK <br />_ O M.O. <br />AMOUNT OF ACCOUNT......... .$ <br />AMOUNT PAID .... ....... ......$ <br />BALANCE DUE ... ...............$ <br />h~ OU~ <br />BY <br />