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i <br /> <br /> <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Flatiron Materials Compagy <br />M-79-097 <br />East Rigden Pit <br />08/13/88 <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 />Remarks: <br />i ~ ~^ <br />Signature / ~ ' ~ <br />(06/88 ) <br />0054f <br />r <br />AII(i .? 1 19~~ <br />~~. <br />