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<br /> MINED lA RECIAMATION DIVISION N_ 22603 <br />1313 Sherman, Rm. ]IS" <br />Denver, Colorado SOX~3 DarE a - ~D , B~ <br /> (303) 866-3567 ~ $ <br />RECEIVED <br /> <br /> ~ <br />~~ <br /> ~41'*]tit Y~3 ~ <br />iltln /In7 `1 <br />~r---"~i7[[ARs <br /> <br /> n^ c (y ^ CASH <br />WRCf/}yr~ ~ /, I O ~ ' ~ O I.~^~.S ~ M OECK <br /> <br /> AMOUNT OF ACCOUNT....... .. $ R lI_ /~ ' II~ <br />l <br />A U <br />U I(/ ` <br /> ` <br />J <br />AMOUNT PAID ... .. ... .. .....$ <br /> BALANCE DUE ......... ..... ...$ BY V <br /> <br />