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<br /> MINED LA' RECLAMATION DIVISION Nr 19337 <br /> 13 t:r ihermao, Rm. -215 pp --'' <br />Denver, Color 1do 80203 DATE ~ t B ~~ <br /> (303) 86 3567 $ <br />~) <br /> RECEIVED .y <br />l/ ~ ~ ) <br />R <br />9 ~XQ <br />. <br />/1 <br />, <br />~ <br />.~/ <br />~ <br />, <br />7o~C~, U(./ <br />F <br />O <br />M <br /> ~ <br />/ <br />/ <br />~J/ <br />~{/L~~~ <br />~/ <br />/~ <br />~ <br />j <br />p <br />~ <br />~ <br />~ <br />~ <br /> ~ <br />_ <br />' <br />~ ~ <br />J A ~I' <br />/wll~f LEI <br />T- <br />-151'R I A <br />L1r <br />=~-l <br />C~ <br /> .. <br /> C <br />/ <br />// <br />FD ~ ~S C! ..SSI~ ~pEC~ <br /> AMOUNT 0 ACCOUNT ...$ ' <br />I <br /> AMOUNT PAIp......... .. . $ ' <br />~~~ ~u <br /> BALANCE DUE .. ... ... ... ....$ BY <br /> <br /> <br /> MINED LAND RECLAMATION DIVISION N~ 19500 <br />1313 Sherman, Rm. 215 _ _ <br />Denver, Colorado 80203 DATE ~- a ~ t9 ~ <br />303) 8 6-35 $ <br />RECENED DD ..,,~~ ~ <br />D <br />v <br />~ <br /> v <br />' <br />~ p~ ~ <br />M <br />_ <br />FR <br />O <br />~~CJ <br />U <br /> r <br />,/ <br />// <br />M <br />/ <br />~' <br /> / <br />/ <br />n <br />^ <br />/ OIIA~ <br />/~y/' ~ <br /> // /~7~ q ^ CAS <br />FOp /1Tn~ NPD `~ ~ ~" ~ ( ,551'8 O M O. <br /> AMOUNT OF ACCOUNT....... .. $ <br />Qh~ OU~ <br /> AMOUNT PAID ............. .. .. $ <br /> BALANCE DUE .... ... .. .. ....$ BY <br /> <br />