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~ ~ III IIIIIIIIIiIII Ilf <br />MINEu'tAND.RECL4MATION G._.' ~ A'0 1220 / <br />131-Sherman Street Room 4Z,- IV <br />Denver, CO 80703 DATE \~ '19 5~'i <br />(303) 866-3567 <br />RECEIVED FROM G 2l%~-i-cx.I2 '~ ~" r , ~- `~-~ <br />~r1~ ~ '~~DO <br />THE SUM OF I ~V~AI h~.ir cS.1 atl/,L}Yi.~1."~ _ DOLLARS $ ' ~ ~ ~ ~~ <br />^ ~ '-'~ e ,, -(~ ~l Q V ^ Cass-~ <br />FDR W17 .1'~ ~ I ~~~ pp ~7.~\i~ OMOCK <br />AMOUNT OF ACCOUNT...... $ cl• <br />AMOUNT PAID. C~..S ~~QYI~Q -U ~ul <br />............... $ ~J <br /> <br />~ ~ BALANCE DUE ............... $ ~ BY ~ ~ \ !\%-T rl c/~*~_ ~ ~ <br />