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<br /> MINED LAND RECLAMATION DIVISION N p ~ 1 ~ 12 2 <br />1313 Sherman _ (~9 <br />Denver, Colorado 80]03 <br />~ - ~~ <br /> DATE <br />19~ <br />(303) 866-3567 / <br />RECEIVED ~ <br />-1- <br />1 <br /> ~~ M1~ <br />r`(~ 1 <br />1SY~ <br />FROM (i <br /> ~ <br /> ~ DOLLARS <br /> <br /> ^ CASH <br />V ` <br />/{-~ -1 ~/ acHECK <br /> <br /> AMOUNT OF A OUNi...........$ '^'^ ,/ <br />QII Yu ~U I <br /> AMOUNT PAID .......... ... ....$ <br /> BALANCE DUE .. ... ... ....... .$ 8Y <br /> <br />