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~ M III IIIIIIIII1111111 <br /> <br /> MiNEL_ AND RECLAMATION DIVISION ~-~~ 16437 <br /> 1313 Sherman, Rm. 215 <br /> - Denver, Colorado 80203 DATE 7 / ~ 9 i s~L_ <br /> _ <br />)866.3567 <br />' (303 <br />/ <br /> !+~ $ <br />( <br />ED <br />/ <br />_ <br />~ <br />~ <br />~ <br />~ <br /> C <br />J ti - \.I ~ y.,. c <br />_ ~..., <br />` <br />FRO <br />In O <br />`~ ~ <br /> ~ <br />~ <br />~ <br />~ ~- <br />' <br /> DOLLARS <br />° <br />~'-" Gy °S' ^ C~^~- <br /> 4 <br /> CASH <br /> FOR 9~ Y UdU CHECK <br />^ M <br />O. <br /> . <br /> AMOUNT OF ACCOUNT.. ...... .$ ~I ^ <br />~ ~ <br />I <br /> ~ <br />QU <br />AMOUNT PAID .... .. ....$ _~ lA lA <br /> BALANCE DUE .. ...... .. ....$ BY <br /> <br /> <br /> MINED "•ND RECLAMATION DIVISION ~0 2092 <br /> 13 Sherman, Rm. 215 <br />Denver, Colorado 80263 ~~// --~~ <br />7 ~ <br /> ~s,~% <br />(303 866-3567 DATE <br /> RECEIVED ~p-~ $ <br />FROM ~ C~14 9 ~L. ~ LC71.r' .~ A t°r'-~ ~vrn .C,, ~_ l/9D . C <br /> _ ~l.ec-rL~itkr~ ~~,if w ~~ -- - <br /> /!'I y,~~/~// q ^ GASH <br />H <br />ECK <br />2 S 0 <br />~ ~ <br />O <br />~ <br /> O <br />M <br />1 <br />FORryYI/7~ G( <br />D /~ / <br /> ~ <br />~~ <br /> AMOUNT O ACCOUNT. ...$ <br />! <br />! <br /> ~ <br />~ ou <br />AMOUNT PAID. .. .. .. ... ..$ <br />l <br /> BALANCE DUE . .... .. ....... .$ BY <br /> <br />