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<br /> MINED' \ND RECLAMATION DIVISION <br />0 19636 <br /> , <br />.s13 Sherman, Rm. 215 <br /> p -~ <br />Denver, Colorado 80203 - DATE s ~ zy ~9~ ~- <br /> 303) 866-3567 <br /> , <br />~ <br />RECEIVED ~ <br />$ // <br /> ~~ <br />FROM 7 <br /> ~~ <br /> J <br /> ^ CASH <br /> _ _ <br />g~1~CK <br />FOR ~~ ' (~ p M.D. <br /> AMOUNT OF CDUM... .. .. $ <br />' <br /> <br />U <br />AMOUNT PAID . .. ......... .....$ <br /> BALANCE DUE . ... .............$ Br <br /> <br />