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iiiiiiiiiiiniuiii <br />999 <br /> <br /> MINEC .ND RECLAMATION DIVISION ~ 2 3 3 6 4 <br /> 1313 Sherman, Rm. 215 ~ <br />Denver, Colorado 80203 DATE <br />~ <br />~ 9 ~-3 <br /> <br />(303) 8663567 $ <br />RECEIVED <br />~(C <br />~ <br />~~ <br /> ~/1/- (_~ J <br />FROM <br /> <br /> y DOLLARS <br /> <br /> ^ CA$H <br /> ,? <br />FOR ~yI7/ -0-CtlECK <br />^ M.O. <br /> <br /> AMOUNT OF COUNT. .........$ <br />t ~ ou <br /> AMOUNT PAID... .. <br /> BALANCE DUE ........ ..........$ BV <br /> <br />