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MINED LANG f IAMATION D:w~ION N ° <br />916 4 <br /> _ . <br />1313 5h.~nan, Rm. 215 - <br /> c <br />Denver, ColoraC~ SG]C1: _ DATE 3 'J <br />/ Z <br /> ~ g <br />~ (303) 866-3 <br />67 , <br />/ <br /> 5 <br />~ <br />/ <br />EO <br />~ <br />$ <br /> 1~ O <br />~ <br />FROM <br />~ <br />4~ <br />1' 1 <br />1 K <br />7oI--(/. <br /> n <br />I <br />~, <br />/~ <br />G k/ ~ ~ <br />~' <br />' <br />~~ <br />- <br /> ~.i <br />i <br />, y <br />C LA.~.Y~Cit <br />L77 <br />~rraas <br /> <br /> ,, /I ^ CASH <br />FOR~'1 Vr p~ ~- ~~'~I ~ ,ys/~ -~GkOECK <br /> <br /> AMOUNT OF COUNT...... .:..$ <br />I <br /> <br />K ~ U <br />AMOUNT PAID .... .. ...........$ <br /> flALANCE DUE .. ... ...........$ BY <br /> <br />