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i iiiiiiiiiiiiiiii , • <br /> <br /> <br /> MINED LAND RECLAMATION DIVI51 N O 2 9 5 7 <br /> 1313 Sherman Street Room 423 ~.. <br />CO 802 <br />D <br />3 <br /> enver, <br />0 <br />® (- <br />GATE '19 <br />' ~ <br /> (303) 666-3567 <br /> gECEIVEO FgpM ~~/~'~ ~'TT j~/'~ <br />THE SUM OF~ -_ /__/._(_1~--~BOL~ARS $ <br /> / Cns+ <br />,~ ECK <br />FDR ~ _ / S-.CJ m.a. <br /> AMOUNT OF ACCOUNT...... $ ~Q <br />~ `tAnul <br /> ll <br />AMOUNT PAID ................ $ J V <br /> BALANCE DUE ............... $ BY 1 <br /> <br />