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9/4/251 9:18 AM Message Start Event <br /> Annual Fee Payment <br /> Annual Fee Payment <br /> Payment Confirmation Number* (') <br /> 255439720 <br /> Signature <br /> I, the undersigned, hereby state that the information provided in this report is true and accurate, <br /> and that site operations are being conducted in accordance with the Division approved mining and <br /> reclamation plans. <br /> I Agree <br /> If you do not see the "Submit" button after completing your report, try to un-check and then re-check the "I Agree" box. <br /> Previous <br /> https://dnrlaserfiche.state.co.us/Forms/form/submission/history/l12229/119060?hideHeader=true&showlnstanceDetails=false&frominstances=true 10/10 <br />