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<br /> MINED LAND RECLAMATION DIVISION NO 00'1718 <br />1313 Sherman " ' <br /> Denver, Colorado 80203 DATE J/IO.~~'a c~ ~ i s ~8 <br /> (303) 866-3567 <br /> FROM A~-C.IN~/V~ (~.B.L~~ <br /> <br /> ° <br /> So ~~ ~ h ~? ~ <br />%~ 'uDLLAR$ <br />~ ~y.:.~.-.,:,~ ^^ CASH <br />FpR (~MM 77' I ~3 '~~y. /4~hJYn MOCK <br /> ~.,._ ~ 5 ^.,.~.wcro <br />AMOUNT OF ACCOUNT...........$ i-d ~^~~ <br /> AMOUNT PAID ................ ..$ ~A <br /> BALANCE DUE ..... ... .........$ BY <br /> <br />