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,. ~ r <br />.' • <br />RECEIVE'I~ <br />Permit No: 81-153 MAY 12 1983 <br />Anniversary Date: April s MINED LAND RECLAMATION <br />( Ce!o. Dent o1 Natural Resoeres~ <br />~~ <br />Operator: Jr <br />/~ <br />Please complete the following and retvrn~is form with your fees and reclama- <br />tion data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land Reclama- <br />® tion Division for annva2 fees dve <br />® An~ua1 Report <br />Ma o <br />Remarks .,r.~ (1.tr..~c..~~r.J ~~-a.~`~F-',.~.. G,~~ l3'~7~ <br />~~ <br />„ ~;, irn e4il' <br />~b <br />~r~~u~.. E ,,.~tit1 <br />Signed, <br />51 ~~/83 <br />,~. ~- ~` <br />i~. <br />r~ t <br />