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<br /> <br /> <br />112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Colorado Lien Co <br />M-78-093- <br />NEWETT QUARRY <br />07 / 28 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Encl/osed 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: HNNUAL ~Ei'~ttT "To r-OLLuc,J <br />