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MINED LAND RECIJ-MATION C N ~ 01014 2 <br />1313 Sherman <br />Denver, Colorado 80103 <br />(30/30 866-3567 /, DATE S ' 1 s ~g <br />RECEIVED ~1 _ \ I )„ _}- _ _ $® <br />FROM K]..J,Y~WJl.O 1'VJ <br />~ m c /~ ^ CASH <br />FOR /• ~ - ~l V ~~ ~ ~ O MHOECK <br />AMOUNT OF ACCOUNT.......... $ <br />QVlI2 OU ~ <br />AMOUNT PAID .............. ....$ <br />flALANCE DUE ........... .. ...$ BY <br />