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Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: <br /> Division of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your <br /> records indicate these documents and fees have already been submitted,please notiA,the Division. <br /> If you have additional comments and/or information that should be provided to the Division,please provide <br /> it below or attach it to this form along with your written report and map. Annual Report instructions are <br /> enclosed. If you have any questions, please feel free to contact Scottie Tate ((303) 866-3567 elt 8166), <br /> Michelle Ramirez((303)866-3567 ext 8114),or email dnr_drmsminadminr,d state.co.us. Thank you for vour <br /> cooperation in this matter. <br /> 11 IJ1i A l. IF LF, 4t.'Ii kIi"i 1 5 A R F \(_)'E R ( l-.IVf 1 1) W, 01< }-(--}}11.: l ()l.'R <br /> A\\IN E:R� l R). I F IT!} i �;'(:)R('} �iE'i�"I t'iZ(�C }:55 \', ;i_i_ V_ -10\1.;,"i <br /> IM I'l \ I I,!) I_ \! ()ht'I Mf \T_ AUT CON\ <br /> R1it)t"; i ;()\ 11.)) 1 (+(:,: 1'} 1" Ifl <br />