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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Ill llllllllllllllll ~ ~aa~a <br />l~ia~~ rw~~~Na~'nd 111 Enclosure <br />Colorado Quarries Inc <br />M-77-168- <br />MARRS MEMORIALS <br />11 j 30 1 85 <br />N~V 2 21985 <br />(~IiIrJED LA~J~ F~~E.AP;~AT14W <br />Calo. Dapt. 04 Naiitral Resources <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br /> <br />Remarks: we have not this year. and do not anticipate next year to exceed <br />permit limits. <br />Claim still active. No reclamation planned at this time. <br />fir, ~ <br />.~ <br />~ (~ <br />