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~ III Iiillllllllli III ~ <br /> <br /> MINED LAND RECLAMATION DIVISION _ N~ 0 0 7 5 4 3 <br /> 1313 Sherman, Room 423 - <br />Demrer, Colorado $0203 DATE ~~_ 19 <br />"" (3 <br />03) 866-3567 <br />(~ <br />^ <br />n <br />~ <br />~ <br /> / <br />^ ,, <br />y_ \ <br />/ ~ <br />~~ <br />J <br />RECEIVED FROM l <br />J <br />~ <br />Q <br />1 <br />~ <br />Y~`~ O <br />°~ t~~ ~ <br /> /~QeJ <br />~ {~ <br />~ ~ <br />~ _ <br />~ <br />~ <br />) <br />/~~ <br />THE S/U~M~~O~F~I~~~~b'/~.17~~/SyJQ~21 _'`~~J1Y1 ~'/p^~pLLARS $c '/~[~~ ^~sV <br />FDR ~-WVI l // 1 _ ( ~ -(O~ ~ O'T FJ ~S ~oCK <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />~ ou~ <br />Q <br /> I1 <br />Il <br />AMOUNT PAID ................ $ lA1l <br /> BALANCE DUE ............... $ BY <br /> <br />