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<br /> <br />...110 and 111 Enclosure <br />Permittee Name: Richard D Mott <br />Permit No: M-80-049- ~~~ 1 ~ X580 <br />Operation Narrfe: MOTT GRAVEL PIT <br />Anniversary Date: 02 / 18 / 86 wig 1'~j ~3P~~ s,~•rf,:':f`'tF;Thi~ <br />0010. D3Nt. GI iC3:'..ital I%YhlUlirt7,~ <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />V Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />t/ Annual Report <br />Remarks: /~l!/o_,,, ,~/ (~';~ - <br />Ml-AND RECLAMATION DIVI~~-. ~f 0 0 0 5 5 2 6 <br />. Sherman Street Room 473 <br />.,.. Denver, CO 80703 DATE 3 <br />(303) 8/6~64~567 /~, /q <br />RECEIVED FRO/MJ~~}.;V~ L,~II ~~ /j~/'-~'/1~.~~ / C ~O - n <br />THE S/U~M__ OF 1 L ~,puA CX(( l~~Y-LY w`~ pOLLARS $ ~v ~ Og~O{' <br />FOR ~\~. ~~` 1'~~ov-D4Cl ~~~( o "o " <br />AMOUNT OF ACCOUNT...... $ ~' ^ N' /~ ' ' <br />AMOUNT PAID ................ $ _~. -'J~'f11 Lp/`L-YVI'~~.~,1TlIU..1~.1111VGGG1.111(/-`O~~V`~isC16~,tLI. <br />BALANCE DUE ............... $ <br />Signature <br />•~~ <br />