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<br /> MINE[ AND RECLAMATION DIVISION ~ 15440 <br /> 1313 Sherman, Rm..IS ' <br />Denver, Colorado 80703 - pATE~ 19 9~ <br /> (303) 866-3567 $ <br />RECEIVED ~ <br /> (~1~ <br />FRDM <br /> ~ ~~ <br /> OLLA <br /> <br /> ~ ^ CASH <br />~ ~ C1 " ~~ -~~ ^ M 0 K <br />FOR ~ <br /> ~ <br /> AMOUNT OF CCOUNT.. ...... $ '^ ~ O~ I <br />rl <br /> AMOUNT PAID .. .......... ....$ <br /> BALANCE DUE ........ ..... .... $ BY - <br /> <br />