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<br /> MINE. AND RECLAMATION DIVISION _,.,p 17748 <br />`1313 Sherman, Rm. 215 (!~~'~ nr~ /~ <br />Denver, Colorado 80203 = DATE ~'I g~ <br />(303) 866-3567 <br /> $ <br />ED ~ <br />b <br />~ <br />-~ <br /> ~ <br />~„ <br />~~ <br />ROM <br />~ <br />, <br />~av. c,~~ <br /> ( <br />~ <br />/ <br />Cam <br /> ~ <br />/ <br />/ I A.'" ' ."'~/lr" ~ ('l'JIk~ `I~ <br />! DOLLARS <br /> <br /> nn r' ^ CA$H <br />FOR [Z .C.c ~- 06 ~ ~ ~~ / `B-OHECK <br />/ ^ M <br />O <br /> . <br />. <br />- <br /> AMOUNT OF ACCOUNT..... .....$ I /~' I1 <br />~ l <br />' <br />A <br /> AMOUNT PAID. ...$ `~ <br />. <br />J <br />ou' <br />C~ <br /> BALANCE DUE ... ... ...... ....$ BY <br /> <br />