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<br /> MINED ND RECLAMATION DIVISION (~' 0 0 7 8 6 3 <br />1313 Sherman, Raom 433 <br />Denver, Colorado 80203 <br />~ <br /> DATE 1s <br />( 03 <br />) <br />86 <br />6 <br />3 <br />56 <br />7 <br /> (~~h ` <br />~ <br />/~ <br />~ <br />~ <br />~ <br />~ <br />! ~'~~U1 ~L J ~ ~ <br />RECEIVED FRO <br />M <br />~ <br /> ~ <br />J <br />^ <br />p~ <br />/ <br />~ ~ <br /> l <br />~ <br />C~C.LO y <br />~CTD <br />THE S <br />OF <br />~O/ILLARS $ <br />. l/l~ <br />U <br />M <br /> /~~/ <br />__ <br />~~`` <br />,,/ <br />/ <br />y <br />Q <br />` <br />^ <br />FORJ~IIM W[U~ 1J/~ !//~~ ~ ICI ~' ~~~~/]~E K <br /> <br /> AMOUNT OF ACCOUNT...... $ q <br />~ oU <br />Q <br /> ll <br />AMOUNT PAID ................ $ <br /> c 1 <br />BALANCE DUE ............... $ BY - <br /> <br />