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112 Enclosure <br /> Permittee Name : Albert R. Frei and Sons, Inc. <br /> Permit No : M-77-165 <br /> Operation Name: Bromley Pit <br /> Anniversary Date: 10 / 25 / 86 <br /> Please complete the following and return this form with your fees <br /> and reclamation data. <br /> Enclosed are: (Check space (s) below) <br /> xx_ Check or money order payable to Colorado Mined Land Reclama- <br /> tion Division for annual fees due <br /> xx Annual Report -'- <br /> Map f�OV 181987 <br /> Remarks: <br /> 4eZZ z2l� % IZIZ� ' <br /> Signature <br />