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<br /> MINED LAN" RECLAMATION DIVISION (v~ 23062 <br />131_~herman, Rm. 215, <br /> Denver, Colorado 80203 ,- <br />9 ~3 <br />"DATE 3 ~~ t <br />(303) 866-3567 <br /> _// <br />/~ <br />/' <br />FROM ED ~ /l~ ~~ ~_~~_-$ "7 /U• <br /> 'I n ~ DD <br />~ ! ~ 71 N ~X /j7tii <br />'v(,`L/ <br />`d /° <br />-,x~LLARS <br /> <br /> ~7 <br />p <br />,¢ <br />'BL}iECK <br />FOR LL7-V~"] fL S~ ~ / ~- ~ /~ ~~/Cl ^ CASH <br />^ M <br />D <br /> . <br />. <br /> AMOUNT OF A OUNT....... ...$ <br />I <br /> u <br />AMOUNT PAID ...... .. ...... ..$ <br /> , <br />BALANCE DUE ... ......... ....$ BY <br /> <br />