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iii iiiiiiiiniii iii <br /> <br /> DIVISION 'MINERALS AND GEOLOGY Nt~~~~/26627 <br />DATE ---~ <br />~ 19 ~~ <br /> n L/ <br />r <br />Q/,/n.XY~ ~ . ~ LAC ~ ~ $ .JSD. <br />RFROM E <br />D <br /> / <br />N <br />~Y/~ ~7/J70~~~~~~ ~ ~D DOLLARS <br />- <br /> ~ <br /> ^ CASH <br />-7 /~ ~ _ 9/_ w~ ^ CHECK <br />FOR /_Yh~ ///T//~~ r" ^ M.O. <br /> <br /> AMOUNT OF ACCOUNT...........$ /1,,~~II^^ 1111 <br />I <br /> Q1'l-G ~U <br />AMOUNT PAID ....... ...........$ <br /> BALANCE OUE ...................$ <br /> <br />