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<br /> MINED LAND RECLAMATION DIVIS N~ 3948 <br /> 1313 Sherman Street Room 423 ~ _ <br />Prover, CO 80203 oATE~/~_is ~~ <br />(303) 866-3567 <br /> RECEIVED FROM ~~ <br /> THE S <br />UM OF <br />O - ~4C~ <br />D <br />OLLARS $ ~5 <br /> n <br />/ <br />P,~ - <br />n <br />~cK <br />~ <br />~ <br /> T~-~-~- / ~ ! ' b .~ - ~ ~ d- l0. <br />C9 L <br />FOR l~ , _ • - <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />Name ouf <br /> AMOUNT PAID ................ $ + <br /> BALANCE DUE ............... $ BV <br /> <br />