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~- _- <br />- RECLAMATION DIVISION <br />MINED LA.~ <br />1313 Sherman. Rm. 215 <br />Denver, Colorado 80103 - <br />(303 566-3567 ~ <br />RECEIVED ~~ ~ ~ <br />_g1-153 <br />FORS'" <br />AMOUNT OF ACCOUnI ~ <br />AMOUM PAID ............ . <br />gq~ANCE DUE...... <br />N 19353 <br />is ~ Z <br />DATE ~~ <br />$y <br />., <br />-_ D01lARS <br />^ CASH <br />g,CHECK <br />7(J~ O M.O. <br />'~ I <br />InaN~ ~ou. <br />$ ~ <br />5- ~ <br />