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• - .. • <br />112 Enclosure <br />Permittee Name: Federal Res Corp <br />Permit No: M-82-090- <br />Operation Name: CAMP BIRD COLD INC <br />Anniversary Date: 12 / 07 / 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 />~I Annual Report ~~~t~ <br />~~ Map DEC 161 <br />Remarks: u~ ~I~.AMATbhI <br /> <br />Signature <br />