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<br />110 and 111 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Blue Jet Mining Inc <br />M-78-135-HR <br />BLUE JET MINE <br />09/09/85 <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 />Annual Report <br />Remarks: <br />RE~~~V'~~ <br />SEP 10 ~~ <br />LAND <br />RECLAMA' <br />r <br /> <br />