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<br />112 Enclosure <br />Permittee Name: The Robinson Brick & Tile Company <br />Permit No: 80-245 <br />Operation Name: H066ACK MINE' <br />Anniversary Date: February 10 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />X Annual Report <br />X Map <br />Remarks: <br />Michael G. Leidich <br />Mines Manager <br />