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MINED LAND RECLAMATION DIVISIC + N p O s O o <br />~. 1313 Sherman Street Room 423 IV O <br />- Denver, CO 80203 DATE +~ ~ ~s ~ 3 <br />(303) 866-3567 <br />RECENE^ FROM-yam ~A ~ ~ n~ ~ ~ `-~n o~ ~r,i-.D/ Cp . <br />THE SUM OF "c~,d~. ~ µy, n~~ - - - - DOLLARS $ ~~' C~ <br />cam, ~~ `t,0- zo s ZI^I3~! ~o`{" <br />FOR <br />A`MD~ OF ACCOUNT...... $ ~~an~ /Foul <br />AMOUNT PAID ................ $ U'l ``1 J~ <br />BALANCE DUE ............... $ BY ~, V'- • ~ .c.. <br />