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DIVISION OF MINERALS AND GEvLOGY~ N~ 26691 <br /> GATE / ~ 19~ <br />RECENED <br />FROM ~ <br />~~ ~L- $ <br />,/ <br />K ~ <br />~ ~ (~ <br />.~ ~ <br />. r OOLLA S <br /> <br /> <br />~~~ -y <br />~~" <br />~ <br />~ -'7 ^ CASH <br />CK <br />~ <br />FOR C . / ^ M.O <br /> ~/ ~' <br />AMOUNT OF ACCOUNT.. .. .. , $ // <br />~ 11 <br />~ ~ ~ <br />AMOUNT PAID...... ou <br />BALANCE DUE ...... .............$ <br />