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• iii iiiiiiiiuiiiiii~ • <br />999 <br /> <br /> MINEC +ND RECLAMATION DIVISION o 15417 <br />` <br /> 1313 Sherman, Rm. 215 _ --- - <br /> qq ~ <br />Denver, Colorado 80203 DATE L~''_ ~ 5 X911 <br /> _ <br />(303) 866-3567 ~ ~ - <br /> RECEIVED $ <br />~~ <br /> FROM <br />vv <br /> - <br />~ <br /> Y <br /> O CASH <br />/ c / <br />H <br />~ <br /> - <br />Q~ /JI " l(J ~~I~3 p M <br />p <br />FOR ~YVYI <br />( <br />Y <br /> ~ <br />/ <br />' <br /> p <br />AMOUNT DF ACCOUNT.... .....$ <br />Q YL ~ u <br /> AMOUNT PAID... ..... <br /> BALANCE DUE . ................ $ BY <br /> <br />