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<br /> <br />r~ <br /> <br />110 Enclosure <br />1141111111111111111 <br />e <br />Operation Name: 12/14/87 DEC 17 1987 <br />Anniversary Date: ~ <br />Aflll3GD Ae,tt. <br />CiECLF+MATIU i:~vi51C?N <br />Please complete the following and return this form with your flees and <br />reclamation data. <br />sss <br />S 8 W Campa ny ~ ~ pa <br />Permittee Name: M-84-1Ot3 'w <br />P rmit No• Olathe Pit <br />Enclosed are: (Check spaceis) below) <br />Check or money order payable to Colorado Mined Land <br />Division for annual fees due <br />Annual Report ,p~~ ~,~,r,~ <br />Remarks <br />eclamation <br /> <br />(Rev. 02/87) <br />5257E <br />