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r III IIIIIitllllll III M <br />.~ <br />111J112 Enclosure <br />Permittee Name: Bear River Sand & Gravel <br />Permit No: M-86-040 DEC ?.3 ~~°~a <br />Operation Name: Bear River S & G <br />Anniversary Date: 11/20/88 ~:' }...~' <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 />Map <br />Signature <br />(06/88) <br />0054f <br />