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• <br /> <br /> DIVIS, OF MINERALS AND GEOLOGY aO 239HZ <br /> DATE ~ - a 3 'I R~ <br /> $ <br />RECENED 1 <br />~ ~ <br />S <br /> oAYVi~ ~ <br />/ <br />FROM, (1~~/ yi.~"1 <br /> a~ <br />~ <br /> (~/11 %J I U,L1'lL~ ~~G~~ <br />~[,y.~ °I~ <br />~~ COLLARS <br /> ^ CASH <br /> p <br />FOR C9 l~~ - !1~ ~' ~U~ ~9U%7 p MHOECK <br /> <br /> AMOUNT OF COUNT...... ....$ <br />P1Qh~ U~ <br />$ <br />AMOUNT PAID <br /> ...... ............ <br /> BALANCE DUE ...................$ BY ~ <br /> <br />