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III IIIIIIIIIIIIIIII <br />999 <br />MINED LP' ~ RECLAMATION .DIVISION <br />I. Sherman, Rr.i. ;'.~.. <br />Denver, Coloradu 80203 <br />(303) 866-3567 <br />RECEIVED /1 /~_ I G-~~. n <br />n,~ 2o1s2 <br />DATE tL ~~~cv//-1~9-/~y~~~~ <br />. $L. r! SLu~~ I <br />FOR <br />AMOUNT OF A COUNT. ....... .. .$ <br />AMOUM PAID ....... ...........$ <br />BALANCE DUE ...................$ <br />/ ~' 3 ~~ I / I ~ S `0-M ~CK <br />~~ u~ <br />BY <br /> <br /> `IVISION OF MINERALS AND GEOLOGY N <br />~ 2 5 5 0 8 <br /> n <br />DATE-~19 ~~ <br /> RECEIVED $® <br /> FROM <br /> <br /> ^ CASH <br />FOR (p ~ oZ- -ppCK <br /> - ~ <br /> AMOUNT OF COUNT...........$ YlY <br />AMOUNT PAID ... .. ..... .........$ Yl <br /> BALANCE OUE ...................$ BY <br /> <br />E <br />0 <br />a <br />u <br />a <br /> <br />RECEIPT Date Q,f-~2~ ,977 No. 0243 <br />Received From arT e1s;7~ ~p mnn-~ "` <br />A t•ess I lays $ S50 (~ <br />Fo ~~ 7~ ~~ <br />ACCOUNT HOW PAID <br />AMT. OF USH <br />ACCOUNT <br />AMT. PAID CHECK hn a n - .. <br />