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MINED LAND RECLAMATION DIVISION N 0 198 ~ 4 <br />1313 Sherman, Rm. CIS <br />Denver, Colorado 80]03 <br />19 <br />~ <br />DATE _SY- ! <br />- <br />(303) 866-3567 <br />' <br />~/ <br />RECEIVED ( i . $ ~'~ <br />FRDM f milli ~ C/. '.- <br />~~~ , <br />I <br />4 t- <br />L' <br />- <br />.u <br />~,~.I <br />. ~ <br />D~LC4RS <br />~ pp (/ ^ CASH <br />FOR "~ ,:1 ~-' 05 '~~~~9~~/~/ 1~~.~JS~JR-9-CHOCK <br />AMOUNT OF COUNT...... .. .$ 11 <br />~ ~~ oul <br />AMOUM PAID ......... .. .. ...$ <br />~ <br />~ <br />BALANCE DUE .. ... ............ $ BY <br /> <br />