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MINED ._..ND RECLAMATION DIVISION ~ ~ ~ O <br />1313 Sherman, Rm. 215 '~- ~ ''\\ <br />Denver, Colorado 80203 ~ DATE ~S ' ~ ~9 nl (.l <br />(303) 866-3567 _ $ <br />RECEIVED (~ p <br />FROM ~ 6r1 ~ 0 -r~ !f~ ~~-[Mct`F . ~~,~~ <br /> <br />FOR <br />AMOUNT OF ACCDUNi...........$ <br />AMOUNT PAID ............... ...$ <br />BALANCE DUE . ... .............$ <br />_ k(o- 7 <br />DOLLARS <br />^ CASH <br />9,CHECK <br />^ 0. <br /> <br />