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<br /> MINED LAND RECLAMATION DIVISION N ~ 010 7 3 5 <br />1313 Sherman. Room 219 <br />Denver, Colorado 80203 DATE ~ ~ Zl 1g C~ <br /> (303) 866-3967 $ <br />RECEIVED <br /> <br /> /VU'k ~L~~OL sS~S~.~L~ ,~ CD~ <br /> (J f~ ' ^ CASH <br />1~f~ A ^B~6HECK <br />Q ~ . / 6 ' 7 ~ 070 99 3 ^ M.O. <br />FOR <br /> ~ <br /> AMOUM OF ACCOUNT...........$ <br />n, <br />~ <br />/ _ <br />I <br />A <br />~ <br /> oU <br />a <br />J <br />IIQ <br />K <br />AMOUNT PAID .. .................$ n ,lri <br /> BALANCE DUE .......... ........$ BY <br /> <br />