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<br /> <br />Notice of Intent to Continue Mining Operations <br />110 Annual Report ,~. J UN 1 r~~, i <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />ARIPVED LAfVU <br />Charles Devereaux RECI.q-MpTipN DIVi~+^?] <br />M-78-221 <br />K-bar-t Pit <br />08/23/90 <br />E50.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />~~ <br />-~ ~~ <br />~~ <br />~~~~ ~~~ <br />Signature <br />~~v <br />'~~~°~ <br />~~~ ~ <br />