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MINED JD RECLAMATION'DIVISION ~ 16169 <br /> ._i3 Sherman, Rm. 215 <br />Denver, Colorado SO703 - <br />~~ <br />~o ' ~U <br />~ <br />l <br />FR <br />M <br />ED <br />O <br />i (303) 866/-3567 DATE <br />~ PQ ~ l0 (~/~ ~ • 4- .r~t~is~c} <br />~ <br />$ JC/. L-tJ <br />,I/ <br />'n{p <br />- <br />~ ~ ~ <br />T~YM O ~ DOLLARS <br />~I <br />f <br />V / /~ C <br />S`~~ S <br />~ <br />~p <br />" I/ ^ CASH <br />-p M OCK <br />3~ <br />FORQ/r'n'~ Q <br />~ " <br />~ Y <br /> <br />AMOUNT OF ACCOUNT...........$ ''^^I^ <br />Q~ <br /> <br />AMOUNT PAID <br />.. .... ..........$ . <br />YI VL <br />BALANCE DUE . ..... .. ........$ BY <br />