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<br /> MINED LAND RECIAMATION DIVIS N~ 3959 <br /> 1313 Sherman Street Room 413 ~ r / +'~` <br />Denver, CO 80103 DATf~`,?579 <br /> _ (303) <br />66- <br />356 <br />7 <br />C <br />~ <br /> 1 <br />. <br />~ <br />,~ ,~,^ <br />RECEIVED FROM <br />~/ L~%~ r ' ~~ ~~' '+ <br />i <br /> rN <br />THE SUM OF DOLLARS $ ~/ ~ / ~ ~ ~/ <br /> ~/~/~ p ~ ( C~ ^cns. <br />FOR ~~~-- -2Ar Y Y 1. '~ d ~ -~ `i ~ _ l$ ~O~ ~ecK <br />~MfJ <br /> ('`~ I <br />AMOUNT OF ACCOUNT...... $ " 1 ~aN~ ~oU <br /> l <br />AMOUNT PAID ................ $ lJ ~ll~ , <br /> BALANCE DUE ............... $ BY <br /> <br /> <br />v <br />