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<br />• III IIIIIIIIIIIIIIII ~~~~~~~~ <br />999 ~1AR 3 0 1390 <br />MINED LAP~G 111/112 Enclosure <br />RECLAMATION fti~i~•, .-~ <br />Permittee Name: Corn Construction Company <br />Permi t No: M-79-002 ~ a 5~ <br />Operation Name: North Delta Pit ~a~SD.~ <br />Anniversary Date: 04/11/90 <br />Total: E350.00 (Due on the Anniversary Dater) <br />Please return this form with your completed Annual Report, map, and a <br />check or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />}!+~ p2s~ gear. <br />/Vc +~a`nanS or !«(z,.,3~ficn h~.s ~'a ken place der:^c7 . <br />S}akp~leA w,alerial 11asi)een ptGCCSS~'a=+'At~'~"'d ~'" ~ie~j~bce_.~t~Si~~ <br />/~rQ(..s.wa'Iely /,~p OGG CONS G~SIGekP <br />~, <br />~~ <br />Signature 3-av-So <br />