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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br /> <br />112 Enclosure <br /> <br />Valco Inc <br />M-77-572- <br />LAMAR EAST PIT <br />03 / 22 / 86 <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 <br />Land Reclamation Division for annual fees due <br />Annual Report <br />Map <br />Remarks: Please find attached a copy of a letter from Hnfma;ctar Larviloual-fag <br />quoting equipment rental prices for our area. We are using these figures for <br />calculation of a revised Reclamation Bond which we intend to submit to your <br />office. <br />Signature <br />-,. .;~ <br />-_T r. <br />/11.4 ~' <br />•R ~.~ <br />~~A. 1. ~~r ...'"~_i <br />-'fir,<,~':,. .;'~1f <br />~~<:,~~ . <br />