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MINEI, AND RECLAMATION DIVISION N O Q Q 8 f; g s <br />1313 Sherman, Room 423 <br />Denver, Colorado 80203 <br />(3 3) 866-3567 BATE ' a ~ 7 <br />RECEIVED FR-OMJJ ~ f(y1~~-] ~~ ~/ ~ / ~ ~ O it ~~j <br />THE SUM OF -1 17J~! W ~' ~' 1 GrC>`--r10LLAR5 $ ~/ D . L~ <br />FOR ~\lIVr1 V~Y.I /"/ aO^~/' I~S~' M.O CK <br />AMOUNT OF ACCOUNT...... $ tiQn~ V ~~I <br />AMOUNT PAID ................ $ 11 `IJ,~ V <br />BALANCE DUE ............... $ 8Y <br />