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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 Nou have additional comments and/or information that should be provided to the Division, please provide <br />it belo%N or attach it to this fonn along NNith your %%ritten report and map. Annual Report instructions are <br />enclosed. If you have any questions, please feel free to contact Scottie Tate 003) 866-3567 ext 8166), <br />Michelle Ramirez ((303) 866-3567 ext 8111), oremail dnr_drnsminadminkrstate.co.us. Thant. fou for your <br />cooperation in this matter. <br />It i III ANN AI HI I '-I If\111 i \I ` \Ill \() I RI (I I\'I 1_) ()\ ()R (f1 MPI )ISI 1 ()I IZ <br />\1 I ()\1 \ I R \1 I `r Ifi <br />l\ill\III) (\IOR(} \11 \I <br />A('11()\" \111 RI')l I i 1\ ( 1\I1 III \\I III5 <br />RI \II()\OI i(WR III R\111 <br />