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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 notify 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 ext 8166), <br /> Michelle Ramirez((303)866-3567 ext 8114),or email dnr—dmisminadi-nin((tstate.co.us. Thank you for your <br /> cooperation in this matter. <br /> IF TILL ANNL ,1l. F F S(:B%,Ifl'lr1LS ARIi NOT 1Zl-(T,1VL.1) ON OR BEFORL. YOUR <br /> ANNlVl.RSAIZ)' 11111'. Till f.N1 OR('f 111 NT PROCLSS \YIL1 ;NUTOMATI( ALLY lll� <br /> INI IT L 1'f-1) LNL(WClAl1A f ACTIONS MAY RFSL l T IN CIVIl. PFN.II.TlFS :\ND OR <br /> IZI:a'O('A*FlOti OF YOUR PL[Z1li V. <br />