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<br />s~,frE <br />Permittee Name: Farmers/Bank of Brush <br />Operation Name: HEADLEY FARMS PIT <br />Permit No: 80-135 <br />Anniversary Date: October 7 <br />112 Attachment <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />~ ~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due ,~3ro.- <br />~=' Annual Report <br />~~ Map <br />Remarks: /.~~E ~Q,e,E S7/LG ,frTFi//'T/.fair To SELL ,~,f,RUGr y FRi~iys <br />/l/~!'/~yG ~/~/ ~.~T/O~yj ,Q~,¢{~E yE~iY ~i/21~ L/~YiT/-~ A~vO <br />/~//GL /1DfT L/.CFL{! l'0.//7/ylil" TD ,8,~ So. Ti~E CdT'y/1-~cTo,~ <br />(rYo/%CiciG Ti§~G= r~/T ,¢%A! .E`•Yf'i1~rr~/l ~lr/ /~YTL°`,P~-"sT/y Oo~~G <br />S~~l~ f a'T/1~9c r/~.v /~`/ G~~U~G /~/ ~/T yy_3 Tif~/r~ ~//L~ <br />,Q',1' /yG~LC ,Qf a~LL OT~fe' o%eE.~S M/.a/_-~ /y T.g~i_` C~S~ 2 y~,E's <br />/1' 7d N F ~ECC,?/~`1E0 AS ~.4e7 OF yfi!f L~l.~'.~t /~OsTG'%vi~/G rivE <br />;,rlFF~cy`o .~~EAs ~/cs.~: N.FM, /_= Ors' B,l~//l- f-°~1fRS S~ ~` ~~'~C <br />nature// s;c=,u~o~r Y,~c ~ir_=r~o~,v% <br />(Rev. 5/84) <br />Doc. No. 1805 <br />