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MINED LAND REc" NATION DIVISION N 0 ~ ~ g 4 1 <br /> 1313 Sherman~reet Room 423• <br />Denvw <br />CO 80203 <br /> , <br />DATE ~I~(- ~._~-. ~B _YY__ <br /> (303) 866-3567 <br /> p~ 0 ~ ~' <br />(~ <br />~ <br /> ." <br />im <br />~ ~-' <br />F7ECENEO FFOM <br />~ <br /> ~ ~ ~~~OOLLARS $ ~' <br />THE SUM OF <br />lJ~ <br /> jjj <br />~ 4pu ~C4S+ <br />Y ~ <br />/// <br /> J <br />~~'( ///y~~~Jq[ <br />~y) /~ [ <br />/ <br />/ <br />/'~-,rEG~c <br />_ l <br /> . <br />,. <br />y <br />.. <br />/ <br />/ <br />,,,, ,~ ~ ~ 1 /" - V I <br />V~J <br />FOR ~6 <br />! "-~L^ <br />9 <br />~N'a <br /> - <br />, <br />.t <br /> AMOUNT OF ACC:OUNT...... $~ ~ ~Q1`~ ~ 10U1 <br /> AMOUNT PAID . ............. $ <br />~ <br /> ~ <br />` <br /> ~ <br />BALANCE DUE. ........ ... $ BY <br />