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<br />11? Enclosure <br />Permittee Name: Corn Construction Co <br />i Permit No: M-79-002- <br />Operation Name: North Delta Pit <br />Anniversary Date: 04 / 11 / 85 <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 />Remarks: <br />- ~ <br />MINED LAND RECLAMATION DI JN of 0 3426 <br />_ 1313 Sherman Street Room 42~ <br />Denver, CO 80103 DarE _ y 11 ~ ,s ~.5" <br />(303) 866-3567 <br />RECEIVED FROM CS .n ... ~, 7n '9- (~j <br />THE SUM OF DOLLARS $ .3SG. OO <br />_ c ^ cns-i <br />FOR ~n . ~ ~ / ~ 06 Z y ~~~/ Z ~ecK <br />V M.~ <br />AMOUNT OF ACCOUNT...... $ <br />AMOUNT RAID.......... ~tian~ ~aUI <br />$ <br />BALANCE DUE ............... $ BY ~ <br /> <br />