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MANED LAND RECLAMATION DI.~,~ON N° 0O768S°° <br />1313 Sherman, Room 423 <br />Denver, Colorado 80203 DATE __,~~s <br />(303) 866-3567 , <br />RECEIVED FROM <br />THE JS/U^/M-~OF Q '/ DOLLARS $ ~']CJ • (~J~ <br />C~ ~7 i ~.'NEGK <br />FOR _ 'cJ 6 7V ^ rn.a. <br />AMOUNT OF ACCOUNT...... $ ~~~~'^ ~ou( <br />AMDUNT PAID ............... . $ ~/ ~ <br />BALANCE DUE .............. . $ 8Y x ~ ~/~I w•-~/~J/ <br />