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iii iiiiiiiiniuiii <br />999 • <br />RECEIPT FOR RECLAMATION PERMIT PACKET <br />A packet of information submitted by Jolin 0. Buckner <br />containing copies of all the completed forms, maps, <br />permits and exhibits that collectively make up an <br />application to the State of Colorado, Mined Land <br />Reclamation Board, Division of Minerals and Geology, <br />for a Ttivo-Acre Limited Impact Operation (110(1)) <br />Reclamation Permit leas been received by the <br />undersigned agent and/or authorized person for the <br />under named agency, group, organization and/or <br />government authority on this the /~~7 of~~ji993. <br />