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Y..rfi - - <br />~~ ~~ <br />112 Enclosure <br />Permit No: M-77-304- APR 151580 <br />Operation Name: REX QUARRY SEC 36 <br />Anniversary Date: 03 / O1 / 86 ~~ „~ ~ ~,~, ~--„~ ; ,r,-,~ <br />Colo. Qep9.09 r,.:: ~ •~- ~ . ~:•;,~c s <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Permittee Name: Holly Sugar Corp <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined <br />Land Reclamation Division for annual fees due <br />Annual Report <br />Map <br />Remarks: Annual mining and reclamation information data has been renuastad <br />from our operator at the quarry. As soon as this reaches my office, I will <br />submit the completed report. <br />Signature tl • i'~ayne Self ers <br />Limestone Coordinator <br />