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<br />DIVI_ .N OF MINERALS AND GEOLOGY ~ 24852 <br /> IV <br /> DATE ~ ~ ~~ 19 <br />RECEIVED $ !`' <br />FROM ~J <br /> ~ <br /> S <br /> <br /> <br />~ <br />~ ry~ // I/ <br />7 <br />~ - ^ CASH <br />ECK <br />~~S ~ H <br />FOR~L <br />/~ q <br />~D // / - O <br /> <br />AMOUNT OF CCOUM...........$ ^~ ~ O I <br />lA <br />AMOUNT PAID .. ... ...... ....$ <br />BALANCE OUE . ..................$ BY <br /> <br />