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Receipt for delivery of Natural Soda LLC (NS) Application for <br /> Amendment 04 to their Colorado Division of Reclamation, Mining and <br /> Safety(DRMS) Permit Number M-1983-194. <br /> Delivered one (1)copy of Hard Rock/ Metal Mining Regular Operation (112) <br /> Reclamation Permit Amendment Application Form for DRMS Permit No. M-1983- <br /> 194. <br /> Delivered to Rio Blanco Board of County Commissioners <br /> Delivered on ZW-+ (date) <br /> Received by: uee�_\N V'A a- <br /> Signature: �JI o Ijd/ <br /> Delivered by: �`� ' �� ����' •'� <br /> Signature: <br />