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<br /> MINED LAND RECLAMATION DIVISION NO 22219 <br /> 1313 Sherman, Rm. 115 c <br />Denver, Colorado 50103 DATE r'~- 3 ~ 9 /` Z <br />(~ {303) 866-3567 <br />$ I <br />~ <br />~ <br />C~ <br />E <br />~~~ <br /> L <br />L ) <br />1 ~L'C <br />FROM <br />~i <br />• <br /> L2"~ <br /> r G ~(' L D RS <br />P <br /> ~ ^ CASH <br />'B~6J•,ECK <br />FOR '1 •1 ^ M.O. <br /> <br /> <br />y <br />I <br />AMOUNT OF CCOUNT...... ..$ (~°) <br />'~1 <br />~ U <br /> } <br />J <br />' <br />AMOUNT PAID ... ......... .. $ ` <br />/ <br /> 2 <br />BALANCE DUE .. .............. .$ BY <br /> <br />