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MINED LAND RECLAMATION DIVISION nI ~ 0110 6 3 <br /> 1313 Sherman, Room 215 <br /> Denver, Colorado 8003 DATE ~ 1 ~/ t 9 ': / <br /> (303) 866-3567 <br />RECEIVED r $ <br />~ <br />, <br />FROM ~_ ~~• ^~~( <br />~ <br /> / <br />- ~ <br />~ (~ ~ '. / <br />~ i a ~ ~ ~ <br />~] '. 1 t ~~ ~(~ - DOLLARS <br /> <br /> ^ CASH <br /> <br />i FOR' <br />/i/ JIB-~~ ~ 9 CHECK <br />i Yi' ^M.O <br /> <br />I . <br />AMOUNT OF A OUNT......... .$ tt~ <br />~ /~' <br />A <br />~-` <br />~ <br /> <br />AMOUNT PAID .. <br />.......... ......$ O <br />J <br />i\Q,l <br />lA <br />~ ~_ <br />,. <br /> <br />BALANCE DUE .. <br />.................$ BY ' ^, I- <br />I ~.~ <br />-~ <br />