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. .. <br /> <br />1121!Enclosure <br />Permittee Name: <br />Permit No: Penn Mountain Mining Inc <br />Operation Name: M-85-022- <br />Anniversary Date: BULLGER BASIN PLACER <br />05 / 23 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks' The materials requested will be sent to you within the text couple <br />of weeks. <br />• <br />g[Yature <br />