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DIVISION OF MINERALS AND G. _.OGY ~ N ~ 7 ~ 3 <br />~ <br /> 1 <br />/y <br />• _ GATE _____~c~~/iG-J 19 / <br /> RECENED $ <br /> <br /> FROM <br /> c~ <br /> DOLLARS <br /> <br /> ^ CASH <br /> ^ CHECK <br />FOR ^ M <br />O <br /> . <br />. <br />AMOUNT OF ACCOUNT. .........$ ~~~`'p~I^ ^1',^tI^ ('^' <br />' <br />I <br /> N <br />AMOUNT PAID ...................$ V /1Q I11L ~J O~ <br /> <br /> BALANCE OUE ...................$ <br /> <br />