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<br /> MINED VD RECLAMATION DIVISION ] 19767 <br /> `rd13 Sherman, .Rm..2I'b - - <br /> Denver, Colorado 80203 DATE ~ " <br />(303) 866-3567 19~ <br />RECEfVED 1 ~ I~ ~ $ <br /> ~~ <br /> l //YiQ ~,Z1JYl L~/~~~( ~~Q~,rLtt!-f',1"/ 0' .~~/ ~/ /~`170UARS <br /> <br /> /~ C ~j ^ CASH <br />O'Q /' / ~ O~ ' /C~ O ~() I3 ~~DECK <br />FOR~A~~ <br /> 7 <br />~ <br /> ~ <br />/ <br />AMOUNT OF PtCCOUNT.. ........$ ~ /'~' +'r <br />` <br />' <br />A <br /> AMOUNT PAID ...... ... .. ... .$ <br />~ <br />J <br />UI <br /> BALANCE DUE ...... ... .. ... .$ BY <br /> <br />