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<br /> MINED VD RECLAMATION DIVISION ( _ .t C 2 ~ O <br />1313 Sherman, Rm. 215 1 •J <br /> Denver, Colorado 80103 PATE -3 - ~~ 19 1_ <br />(303) 866-3567 <br /> <br />RECEIVED /~ ~ f~ ' $ <br />J <br /> <br />FROM / V ~,t L.11 vii 1 A/~sYJ <br />iLSQ-L1L-~-~-! .I <br /> <br /> ~ DOLLARS <br /> ~~ pU Y1'l ' q I -O 1 ~j ^ CASH <br />FOR /~1- S - l~(3 `~-CcHECK <br />/o? ^ M <br />O <br /> . <br />. <br /> AMOUNT OF A UNT...........$ ~ NK ~U! <br />AMOUNT PAID .... ............ .$ I1 <br /> BALANCE WE .............. .. .$ ~ BV <br />