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• iiiiiiiiiiiiiiuiii • <br />999 <br /> MINED LANG _ .~LAMATION DIVISION <br />N p _~ 5 8 2 8 <br /> - <br />1313 Sherman Street Room 423, <br />Denver, CO 80203 ~ <br />5 ~ <br /> DATE <br />(30 <br />6 <br />6-356 <br />7 <br />/3~) <br />/8 <br /> J <br />1 <br />' <br />/ <br />. <br />- ~ > <br />wJ~ <br />l_x ISU r\ ~-~ <br />RECEIVED FR <br />OM <br /> /~J~/ <br />J <br />/ <br />~ <br />1 <br />~ <br />~ <br />~~ <br />~ ~~ ~U~ <br /> h <br />d <br />1 <br />~pOLLARS $ <br />THE SUM OP~V ~/l ALP <br /> / <br />^ <br />c <br />ns~. <br /> .v <br />~t <br />i <br />~~nn11.. ^^ ~± /~ <br />D~ ~ DcK <br />FOR ~f'~'111~~_ ''1~~-/` U~S ~~C- ~~7 ~ <br /> <br /> ^ <br />AMOUNT OF ACCOUNT...... $ ~I ~~~ <br />O~I <br />n <br />` <br /> ~ <br />AMOUNT PAID .............. $ <br />\ <br /> BALANCE DUE ............... $ ~' <br /> <br />