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<br /> MINED LAND RECLAMATION DIVISION N p O O 9$ Z H <br /> 1313 Sherman _ <br /> Denver, GolOrado SO10J ~ DATE 3 - l3 19 ~ I <br /> (303) 866-3567 <br /> $ moo <br />~ ~~ <br />p~~ ° ~k <br /> . <br />~~- <br />~I <br /> <br /> CASH <br /> ,rye 9,CHEGK <br /> <br /> AMDUNT OF AC UNT...........$ ''nn <br />`t~ ~U! <br /> AMOUNT PAID . ..... ..... ....$ <br /> BALANCE DUE ............ ......$ BY <br /> <br />