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110 Enclosure <br /> Permittee Name: Union Carbide Corporation <br /> Permit No: M-79-118HR <br /> Operation Name: Wright Group <br /> Anniversary Date: 02/01/89 <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 /> Remarks: <br /> cr a,2 Q � c <br /> -,:i6 Q�n«a <br /> 62�ta OF <br /> 1' ature <br /> (Rev. 06/88) <br /> 0052f <br /> I <br />