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<br /> DIVISION OF 'UNERALS AND GEOL06Y N/ p/~ •2 7 2 2 9 <br />DATE ~r.~ 19~ <br /> RECEIVED ~ <br />FROM <br /> ~~~ <br /> /~ <br />^ M.O. <br />FOR ~~~ ~ ~ / <br /> ~~ <br />AMOUNT OF ACCOUNT..... ..... 1A <br />Q,l ~U! <br /> AMOUNT PAID ...................$ <br /> flALANCE DUE ...... ...... ... .~ <br /> <br />