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<br />MINED LAI" RECLAMATION DIVISION _ N?r O O 5 2 O 3 <br />1313 Sherman Street Room 423 <br />Denver, CO 80203 DATE ~~_~~ 9B g's <br />(303) 866-3567 -o ,, <br />RECEMED FROML , -~ ~ Al~l~ ~ D.I~.A _CL ~y L~~/y'~~ f~ j ~ <br />THE SUM OF~~O oA~.,.P~~~/A7T-f~OLLAR5 $ _i~LLT <br />FOR ~rn/h 'tCl~ !~ ~ - 0) ~~O `'Sr, ~~.o.IX <br />AMOUNT OF ACCOUNT...... $ <br />AMOUNT PAID ................ $ <br />BALANCE DUE ............... $ <br />BY <br />~(7Qn~2 ~Oul <br />