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DIVISION OF MINERALS AND GEOLOGY <br />RECEIVED <br />Np°_ 249391 <br />DATE_L_L-'I9 f <br />"i s <br /> <br />^ CASH <br />-9.CHECK <br />^ (vl 0. <br />AMOUM OF ACCOUNT... ... ...$ <br />AMOUNT PAID ..... ... .... ... $ <br />BALANCE DUE ......... .. .... ..5 <br />oul <br />BY <br />~l - 77 -a~~" <br />