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<br /> <br /> <br /> MINED LAI RECLAMATION DIVISION nJ~ 0 0 513 0 <br />1313 Sh~trman Street Room 423 <br /> Denver, CO 80203 <br />DATE <br />~ <br />~ ~s ~ <br /> (303 <br />) 866-3567 <br />/ <br />^ <br /> / <br />nT <br />, , ~ - <br />/ <br />' <br />^ <br />RECEIVED FROM l ./77M l <br />~ <br />071 <br />11.V U <br />('~,(~'1 Yl <br />~ <br />\ <br />/ l <br /> II <br />~~ <br />V <br />( <br />/} <br />~5 <br />p <br />THE SUM OF~~~ ~ f N f ~1 `kC,//~ILLARS $ ~-/~~' D~~ <br /> ~m ~ ^C45M <br />FOR M ~ & 1- ~ 9 L{3R 8S ~ ocK <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />and oul <br /> AMOUNT PAID .. ............. $ <br /> BALANCE DUE ............... $ BY ' <br /> <br />