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<br />112 Enclosure <br />Permittee Name: Siegrist Const Co <br />Permit No: M-82-015- <br />Operation Name: SIEGRIST CONST CO <br />Anniversary Date: 12 / 10 / 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 />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />X Annual Report Q ~ ) <br />Map r1~~~~ q ~~ <br />DEC 3 0 }~ <br />Remdrk5: (See letter to MLRD dated December 23, 1985) ~p~~~.~~,,,,~~__ <br />(iUIU. 1~~{1I. !11 h1iLIf8~ A~OI11Y~'.~~ <br />~,~~//~.~1 _ <br />Signature <br />Robert Y., S' grist <br />President, iegrist Construction Co. December 23, 1985 <br />