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<br /> <br /> DIVISION OF MINERALS AND GEOLOuY N~ 8 3 4 9 <br /> DATE ~ ~ 19 <br /> RECEIVED S ' / <br />' $ <br /> ~ <br />FROM <br />.~c.L '! ' J <br /> _ / `n1^ <br />~ <br /> Gr r// <br />TARS <br /> <br /> ~j// m `~9 7 ~ ^ CASH <br />FOR «!~ ~ „ / ~ / J ~L~-~ ~ ^ M,OCN <br /> AMOUNT OF ACCOUNT....... . , .$ 3~1~ <br />~ ~~~! <br /> ,l <br />AMOUNT PAID . .................$ ~ <br /> BALANCE DUE . ... ....... .. ..$ Y <br /> <br />