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iii iiniiiiuiii iii <br /> <br /> MINED LAND RECLAMATION DIVISION of ~ 0 0 7 5 31 <br /> 1313 Sherman, Room 423 <br />Denver, Colorado 802()3 DATE ~ L'19 ~ `' <br /> (303) 866-3567 <br />/ <br />~ <br />/ <br />ye <br />~ <br /> ~ <br />~ <br />J ~ <br />` <br />r <br />, <br />RECEIVED FROM <br />~ <br />`Q-Q~Q~~ 1 ` <br />~ <br />~/ <br /> /`~~I <br />J~ <br />Ih <br />l~ <br />I~ <br />~ ~O' y~ <br />~ <br />'~ n~ <br />t~ ~ <br />~ ~~ ~ <br /> ~~?OLLARS 5 <br />THE SUM OF <br />„ <br />I ` <br />/ <br /> FOR WI'~'~ ~ 0 /r 1` 7 1 ~ 4 /~o-~~ cK <br /> <br /> AMOUNT OF ACCOUNT...... $ I ^N~ n'ou~ <br />n <br />, `-l <br />,~ <br /> lA1 <br />J <br />AMOUNT PAID ................. $ <br /> BALANCE DUE ............... $ BY <br />