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III IIIIIIIIIIIIIIII <br /> <br /> MINED LAND RECLAMATION DIVISION N~ 009949 <br />1313 Sherman - <br /> ~-I <br />Denver, Colorado 80]03 ~ DATE ~' ~~/ 19~ <br />(303) 8663567 <br />RECEIVED ~ ~ <br />.~ _ ~., <br /> <br /> ` <br />~ <br /> =1-C A~C.! a- <br />G ooLLARs <br /> <br /> / _ p~/1~/ I ,, ^ CASH <br />FOR t4M//~- 'NAP ~' l `~ I ~`~ SaI~ p~CK <br /> <br /> AMOUNT OF ACCOUNT... .......$ <br />~ ~ U! <br /> AMOUNT PAID ...................$ <br />"~ BALANCE DUE ...... .. ........$ BV <br /> <br />