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I~ III IIIIIIIII IIII III • <br />110 Enclosure <br />Permittee Name: Dilleys Sand & Gravel <br />Permit No: M-81-004 <br />Operation Name: Ayers Pit <br />Anniversary Date: 02/02/88 <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 />__ _ _ Di vision for annual fees due FE ~ $ 1998 <br />RAINED 6Af~D <br />~~ Annual Report RECLAt'~i~YIORI DIVISION <br /> <br />(Rev. 02/87) <br />5257E <br />a <br /> <br />/~ 'a<-eC~ ~~_7_G_,Cr.LC!~ ~L-!il/ lC~fi ~-?~~c/~ 7~'rC-CC-I /~`<GG(~ <br />_. i . <br />