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- ?• ~ • <br /> <br />. ~~`~~ ~' ~'J ~{,d/10 and 111 Enclosure <br />~;~~~ o ;~~ l~E~:~:~1~'~~7 <br />Permittee Name: Texas Mng & Exp Co <br />Permit No: M-84-094- :. ": ~NND AUG 3 01985 <br />Operation Name: GLORIA Z MINE ,tCL;~t~iHTION DIVISION <br />Anniversary Date: 07 / 17 / 85 MINED LAND <br />RECLAMATION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: _(Check space(s) below). _ _ ___ _ _ ___ _ _ _ _, .._ <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: <br />Signature <br />