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<br /> <br /> <br />Permittee Name: Suburban Sand and Gravel <br />Permit No: M-79-195 <br />Operation Name: Road Runners Rest II Pit <br />Anniversary Date: 01/28/87 <br />112 Enclosure <br />RECE~uE~ <br />JAN 111988 <br />MINED I,P~~C <br />RECLAMAT191ti siwL~`9'tl <br />Please complete the following and return this form with your fees <br />and reclamation data. <br />Enclosed are: Check space(s) below <br />X~C _ <br />Annual Report <br />Map <br />Remarks: - <br />Check or money order payable to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />MINED LAND RECLAMATION DIVISION <br />1313 Sherman, Room 423 N~ 0 0 7 3 6 3 <br />Denver, Colorado St1Z03 / ~ - <br />(3CC03) 866-3567 DATE ~B ~__ <br />RECEIVED FROM l \ ~ , ~-{~ n ,) }/~~ C~ ~ - <br />THE SUM OF `~_`iJ C /`~ - <br />AA /- OLLARS $ 3 SL .~ <br />FDR ~~s~Ll~) ~7 ~4\ G S ~L`iiECK <br />AMOUNT OF gCCOUNT...... $~~~(-~~ /p /,p ~M.o <br />AMOUNT PAID ................ $ V ,1UIl~ ~((I - <br />BALAN~ DUE .............. . $ r' n <br />BY <br />Signature / Dean Craft <br />