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MINED LAND RECLAMATION DIVISII N ~ 21 <br />13113 Sherman Street Room 423 <br />Denver, CO 80203 DATE ~ Qs~__ ~s <br />RECEIVED FROM ~ a ~ ~ ~ ` / ' <br />THE SUM OF ' ~ ~ ~` O DOLLARS ,> ~ y O <br />FOR / V ~' C ECK <br />~~ <br />J ^M.O <br />AMOUNT OF ACCO ...... $ ~ ~ka~ ~ n Iouf <br />AMOUNT PAID ................ $ ~l 1\ri-~ 1 \-~l /' ` <br />BALANCE DUE ............... $ BY <br />