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~ MINED ND RECLAMATION DIVISION ~ 013314 <br />'~ 013 Sherman, Room 215 `-"' <br />Q'> <br />Denver, Colorado 80203 OATE~19~ <br />(303) 866-3567 <br />/~ $~ <br />~ <br />S °~ G <br />ED ~ Q <br />m <br />rlStm <br />FROM <br /> <br />C?O <br />~~~ <br />Y Dll1~AR6 <br />~ ^ CASH <br />FDaS~I `~ pD /rl'gy-9N 5.5.5 o~a. ocK <br /> <br />i AMOUNT OF ACCOUNT.. ........ .$ f^ /~~^ <br />I <br />AMOUNT PAID ... ..... .. .. ... .. ..$ 1lQIl YL OU <br />3 <br />BALANCE DUE ...................$ BY <br /> <br />