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<br /> MINED LAND RECLAMATION 'DIVISION N p ~ 1 ~ 9 ~ 8 <br /> 1313 Sherman, Room ZIS <br /> Denver, Colorado 8D]03 DATE ~'s- ~? / ' <br />g'~9 <br /> I <br />(303) 866-3567 <br /> $ <br />RECEIVED (~ ~ (~ ~ ,~-I.~ <br />FRDM ~ (rVY'l 1~1~.1'1 ~D1~ ~LIJ. <br /> Da <br /> ^ CASH <br />_ ~ 3 . .1 ~B-CHECK <br /> FOR lJ ^ M.D. <br /> <br /> AMOUM OF A OUNT...........$ ''^^ /IAA /I/I <br />IIQII~ QU! <br /> AMDUNT PAID ......... .........$ <br /> BALANCE DUE ... .. .... ...... ...$ BY <br /> <br />