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10 Enclosure <br />Permittee Name: Dave Direzza <br />Permit No: M-84-028 ' <br />Operation Name: Direzza Pit <br />Anniversary Date: 05/01/89 <br />Please return this form with your completed Annual Report and a ch <br />money order for annual fees due, payable to the Colorado Mined Lan <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />fFpPRoxrmAT~Ly 6ooT o~ REsou,er~s NR-s BAN <br />pR-~r yEnR~ 7~RE h~5 heEN n/o oTrrEQ r(-cTtv~Ty. <br />aclc or <br />i Reclamation <br />~vEp i,v thF <br />MINED LAND RECLAMATION DIVISION N 0 Q 1 ~ 211 <br />1313 Sherman C _ <br />Denver, Colorado 80203 DATE S ~ S 19 <br />(~Q3) 866-3567 ~ $ <br />RECEIVED I~ / j c' ~., <br />i1J <br />1 <br />FROM C l v <br /> <br />,~- --_- --_-~D R3 <br /> <br />^ <br />~ _ ~lt _ ~ O ~ '9,GH <br />l1 O <br />^ AEI. H <br />CK <br />AMOUNT ACCOUNT ..........$ <br />~'n^ I^ <br />~ <br />I <br />~Qll l~ <br />OU <br />AMOUNT PAID ... ...............$ <br />BALANCE DUE ...................$ BY ~ . <br />c <br />C__S~ [ i <br />Signature <br />