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<br /> MINED LAND RECLAMATION DlwsiON N ~ 0 0 915 4 <br />1313 Sherman <br /> ~~,,.. pp <br />Denver, Colorado 80203 DATE r a - ~ a 19_x_. <br />(303{0 86B-356~}7-~ r,^ $ <br />SL~.Y-.C 1~ q" i~ L,~ MY~/~ J D . <br />~ <br />p i~f <br />FR <br />O <br />M <br />ED ~ <br /> <br /> ` <br />` <br />( <br />~ <br />v <br />( <br /> <br /> l ~} C ^ CASH <br />FOR QiY1/1'7 '[.~~ ( /~ / .. C, ~' ~ ~ ~) (a ~ ~ B-CHO K <br /> <br /> n (oU! <br />AMOUNT OF ACCOUNT. .. ......$ ~)_Q <br />1 <br />`U <br />~(( <br /> i <br />II IG <br />11 <br />AMOUNT PAID ........ .. .......$ <br />~ <br />~ <br /> ~ <br />BALANCE DUE ........... .. ....$ BY ~ ~ <br /> <br />