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• iiiiiiiiiii <br /> 112 Enclosure <br /> Permittee Name: Bestway Paving Co <br /> Permit No: M-77-315- <br /> Operation Name: PIT NO 1 <br /> Anniversary Date: 04 / 23 / 86 <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 R E ce 9 VG D <br /> Map APR 9 W6 <br /> MINED LAND <br /> Remarks: RECLAMATION DIVISION <br /> Signature T i <br />