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<br /> I~.SION OF MINERALS AND GEOLOGY_ ,~~ N <br />D <br />2396 <br />4 <br /> // <br />,,,, <br />9 <br />- - DATE <br />~19_1 <br /> J/ <br /> ~'C!I.L/1 ~L9"1L~~~J%'P~c ~f' C~ DOLLARS <br /> <br /> ~ -7 // ^ CASH <br />FORG,~YI/I'~ P D ~ ~ ~.a? ~ ~ ~S 7 D 'B~SHECK <br />^ M <br />D <br /> . <br />. <br /> AMOUNT OF CCOUNT......... ..$ <br />~ <br />I <br /> ~ U <br />AMOUNT PAID... ...$ ;; <br />. .......... <br /> ~ <br />BALANCE DUE ... ......... ......$ BV ~1l- ~• <br /> <br />