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f, III IIIIIIIIIIIII <br />- <br />: • ~ ~ : III <br />~. <br />. ~ ~ ~ ~~~~ <br />Permittee Name: Universal Peat Sand and Gravel FEB 2?, i39p <br />Permit No: M-86-140 MINEO4AND <br />Operation Name: Wright Pit ~r~CLAMATION DIVISIOhd <br />Anniversary Date: 04/13/90 <br />Total: 550.00 (Due on the Anniversary Date) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />L °~ <br />/~~ <br /> <br />'-a-~~ ,may / q ~q . ~~n.~v~s~`' <br />~~. <br />d~ s w y S~ 1 .8..u-. ~4 ;r 5~ .~~, <br />~ ~ 73~ ~-~ ~ .~ ~ ~ ,~,~~~~, yam. ~.~-- <br />~ d~~-~ o~ <br />~ ~ ~m <br />Signature "~ <br /> <br />k~~ <br />