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<br /> <br />112 Annual Fee Letter <br />Page 2 <br />5) The type and approximate quantity of fertilizers, organic material, <br />or soil conditioners used and location of use, <br />6) An appraisal of the success of reclamation efforts, and in the event <br />of failure of any efforts, a short narrative on the suspected or determined <br />causes of such failure, <br />7) Estimates of the location and number of acres to be affected in the <br />coming year, and <br />8) The effective date of the information provided above shall be no <br />more than 45 days prior to the anniversary date. <br />Please complete and return the attached form with your annual report and <br />fees. If you have any questions concerning the annual report or fees, please <br />direct your questions to Yvette or Penny. Thank you. <br />Please ignore this notice if you have already forwarded your remittance and <br />report to us. <br />Attachment <br />(Rev. 5/84) <br />Doc. No. 1805 <br /> MINED LAND RECLAMATION DIVI V N D 2 9 5 2 <br /> 1313 Sherman Street Room 423" I ~~~r/// <br />Denver, CO 80203 GATE ` ` I ~ '19 <br />( 3) 663567 <br /> RECEIVED FROM ( (1 Kl~ll l..R 4 YCD~ <br />t <br />1 /1 ~Q ~ <br />" <br />~ <br />S` <br />~. <br /> ~ <br />//// <br />~~ <br />/^' <br />~~~~~''(( <br />C <br />THE SUM OF "OO~LARS $C~~vl\/~ <br /> FOR ~ECK <br />^MO <br /> . <br /> p1 /~ I <br />AMOUNT OF A COUNT...... $ (Y~aNh ~o <br />' <br />l <br />" <br /> ul <br />I11IGG / <br />ll <br />ll <br />AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ BY <br />