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.MINED LAND RECLAMATION L .,ION N 0 15 4 5 <br />1313 Sherman Street Room 423 <br />Denvler, CO 80203 <br />(30//3~)..~86~6-~35~6~7~ ,~}- DarE ~ ~e <br />RECEIVED FROM Wy-`-"'~~'u ~"1~,~-' <br />THE SUM OF <br />FOP <br />DOLLARS $ raO•~ <br />111 [q~ CAS+ <br />~O p~CNECK <br />FJ M,p <br />AMOUNT OF ACCOUNT...... $ <br />~an~ oul <br />AMOUNT PAID ................ $ ~~~' <br />~ ~ BALANCE DuE ............... $ SV `-~K%r x-~ y °~ _ `~-~ I ~ <br />