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<br />II <br />112 Enclosure <br />Permittee Name: Suburban Sand and Gravel <br />Permit No: M-79-195 <br />Operation Name: Road Runners Rest II Pit <br />Anniversary Date: 01/28/91 <br />Please complete the following and return this form with your fees <br />and reclamation data. <br />Enclosed are: Check space(s) below <br />~~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />~_ Annual Report <br />~}~ Map <br />Rem a ~~-- - <br />MINED~D RECLAMATION DIVISION <br />X13 Sherman, Rm. 215 <br />Denver, Colorado 801~}i. ~. „ <br />(303) 866-3567 : - <br />RECEIVED C I ~ ~ ~. <br />FOR - 7 / - ~ / s <br />AMOUNT OF CCOUNT ..........$ <br />AMOUNT PAID ... ... ...........$ <br />BALANCE OUE ...... ............$ BY <br />r~~ 15007 <br />DATE ~~ 19 g~ <br />$ <br />^ CASH <br />~~ O M. CK <br />~~~ I <br />