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• • <br /> <br />Permittee Name: Fremont Paving & Redi-Mix,Inc. <br />Permit No: M-80-224 <br />Operation Name: McKenzie Pit <br />Anniversary Date: 10/27/88 <br />111/112 Enclosure <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />XX Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />tdap <br />~ 1''3~ <br />Remarks: Annual Report and Map to follow within 30 days. <br />1988 annual fee for $ 950.00 enclosed. <br />Signature Edmund H. Erion, Safety Engineer <br />(06/88) <br />0054f <br />