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<br />1. Dale of Report 2. OSM Idenllllcallon No. U.S. DEPARTMENT OF THE INTERIOR <br />7-9-92 GR 090081 Office of Surface Mining <br />3. Narne & Address of Recipient (type or Piliii) REPORT OF GOVERNMENT PROPERTY <br />Mined Land Reclamation Division - <br />1313 Sherman Street, Rm 215 (This form IS fo be submitted at the completion of a grant, cooperative agreement or contract enJ <br />Denver, Col orado 80203 ment <br />rovide a listin <br />of Inventoried ex <br />endable and non-expendable e <br />ui <br />is fo <br /> g <br />q <br />p <br />p <br />p <br />4. IJa~ne ti Tille of Authorized Represenlatlve purchased or Government property furnished. In column (l) a recipient is to suggest <br />Michael B. Long disposition Instructions. OSM will Approve or disapprove the recipient's request <br />Director /~ within 120 days alter OSM has accepted the recipient's final report.) <br />5.31gnature -~'~ This report covers n expendable ~ non-expendable property <br />8. List Bebw Each Item of Govemmenl Property <br />Government ID MFR. Serial Date Recipient's Approval or se ~y <br />No. and FSN Description of Item MFR Nos. Quantity ConJlllon Location Cost Received Dlsposlllon Request ~ •; es No OSM Only <br />(a) -- (bl !c) _ fdi 1~) (t) (9) (h) (1) _ (U _ {k1 (t) (n') <br />_'~ <br />No items were _ <br />obtained under this <br />cooperative agreement <br />I <br /> <br /> <br />i i <br />i <br />I <br />,~ i <br /> -- ~ _J <br />OSM Gr) Iti/1~D'' <br />