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III IIIIIIIIIIIII III <br />999 <br /> <br /> MINED LAND 'LAMATION DIVISION N~ 3 6 9 0 <br /> 1313 Si~crman, Rm. 215 ~ 7 ~ ~~ <br />Denver, Colorado 80]03 DATE 19 <br />(303) 866-3567 <br />RECENED M _ _ Ili n^ G <br />~ $ S <br />, <br /> ~ <br />~ <br />J <br />~ <br />~ <br />~~ <br />j/ <br />1 <br />/ <br />F <br />R <br />O <br />M <br /> ~ <br />- <br />-I <br />I 1 <br />(\ <br />) J.1 ~,~L~_ <br />L ~ ~ <br />~ <br />~ <br />~1 <br />I ~~LO ~ t.WYleYi'lPE^~( 1LL~O~i.~i °F ~/ DOLLARS <br /> <br /> M G ^ CASH <br />FOR ~ /~/ ~ ~~ ' ~ o ~ ~ '6-EHOECK <br /> <br /> AMOUNT OF COUNT.... .. ..$ I^ <br />rl~ Q~I <br />AMOUNT PAID ......... .. ......$ <br /> BALANCE DUE .. ..............$ BY <br /> <br />