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<br /> MINED LAND l~.AMATION DIVISION N ~ O ~ ) 5 4 <br />1313 Sherman, Room 423 <br />Denver, Colorado 50203 r' ' {~ / <br /> (303) 866-3567 DATE ~s <br /> 4>J am ~L TY/,~ ,_ <br />G <br />~ <br />RECEIVED FROM ~ <br /> '}, <br />~, <br />~ <br />f~~ <br />THE SUM OF ,~Md/ ~ DOLLARS $ ~ ~ O • v`~ <br /> FOR 11 /VYI ~ ~~- / SOZ / I,MCI CK <br /> <br /> AMOUNT OF ACCOUNT...... $ ~^~~ ~oUl <br />A <br />~• <br />' <br /> J <br />` <br />AMOUNT PAID ............... . $ U <br /> BALANCE DUE ............... $ BY <br /> <br />