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~~ <br />M1NED LAND" RECLAMATION DIVISION _ <br />N 0 D O 8 O Z H <br /> 1313 Sherman <br />' Drover, Colorado 80203 ~ DATE 5 ~ ~• ~s h"=~" <br /> (303) 856.3567 $ <br />RECEIVED <br />~ /1 <br />' <br />f <br />~ <br />~ <br />~ %% <br />FROM .. ~. <br />Q.:J <br />l .•Yi / , <br />~ ~ <br />~ 1 r <br />~~ `` % <br /> .. <br />, ., <br /> ^CASH <br />FOR-~-~~.a; 'f ~7'aPY 74-1 3i~~-afc -1~ y.; ~Mo <br /> <br />AMOUNT OF ~ <br />OUNT...........$ da-,9r J • a l <br />(``'p ~n <br />~ <br />1/ <br />~ <br />I <br />AMOUNT PAID . .......... ........$ Q11 <br />/~D/ <br />I ~OU <br />~ <br />/ <br />BALANCE DUE . ,( <br />/ <br />/~.. <br />... ...... .........$ BY ! ~L'~~o'l ~ <br />/ <br />g~ <br />