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• iii iiiiiiiiniiiiii <br />RECEIPT FOR RECLAMATION PERMIT PACKET <br />A packet of information submitted by John 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 Two-Acre Limited Impact Operation (110(1)) <br />Reclamation Permit has been received by the <br />undersigned agent and/or authorized person for the <br />under named agency, group, organization a /or <br />government authority on this the Zen n of ~j/~- 1993• <br />~~. <br />iC~~~ ~ ~ ru.v ~~,~~r~az <br />5i gnature and '1'l tle <br />Sv~Zrt ~~~K i2. <br />U~ fcl~~r S~vIC~:.. <br />MUR 23'93 <br />