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iii iiiiiiiiiiiii iii <br />999 <br />MIS LAND RECLAMAT~N DIVISION N~ ~ ~ 4 8 2 7 <br />'x313 Sherman Street Room 433 ,r~~ ~~ <br />Denver. CO 80103 pATE ~JC=L_1,L~e <br />(303 866-3567 n -} <br />RECEIVED FROM l~, l .LIYId~/` .l-(1T17 <br />THE SUM OF I`7 ao lL!m~ArN _- jL!9~'0~O1~~pLLARS $ ~~~ ~~~-/ <br />,,/ (~ p~ ^ Cnsi-i <br />FOR ~G11iN fop m'77-I7C~ T3V3 pMOCK <br />AMOUNT OF ACCOUNT......$ ~^~~ /~Ioul <br />AMOUNT PAID ....... ......... $ U ``t /A <br />n <br />BALANCE OUE ............... $ BY <br />