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~ ~ • <br /> <br /> MINED LAND RECLAMATION DIVISION NO ~~7316 <br /> 1313 Sherman, Room 423 <br />Denver, Colorado 80203 r DATE IB~ <br />(3 <br />03) 866-3567 <br /> 5 <br />RECEIVED FROM ( ~~ ~ ~~9~` <br /> 5 ~j <br />~j~ IVV '' ~~~~ <br />35D <br />y t / <br /> • <br />OOLLARS $ <br />THE SUM OF <br />J~ ^ Gnsn <br />FOR CA-HV v~ ~ J2 0 /~ I - 4 " 4' ~O9 c~ 0 oG~c <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />anl~ oul <br /> AMOUNT PAID ................ $ ~ <br /> BALANCE DUE ............... $ BY ~ • ' "~ ~• <br /> <br />