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--------- III IIIIIIIIIIIII III <br /> 999 <br /> MINEf'AND RECLAMATION DIVISION _ `J0 21449 <br /> D en Sherman, Rm. 215 ^ �� <br /> Denver, Colorado 80203 dog <br /> (303) 866-3567 DATE 9 <br /> RECEIVED <br /> FROM 1, <br /> ❑ CASH <br /> F0124Ja�7 r C O ❑ M.O. <br /> AMOUNT OF 19COUNT. ...... .$ Ou I <br /> AMOUNT PAID. ....... .. .. .. $ <br /> f <br /> BALANCE DUE...... . ... .. ..$ BY <br />