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<br />110 Enclosure <br />Permittee Name: Albert Frei and Sons, Inc. <br />Permit No: M-78-279 <br />Operation Name: Goldman Pit <br />Anniversary Date: 11 / 22 / 90 <br />Please complete the following and return this form with your fees <br />and reclamation data. <br />Enclosed are: Check space(s) below <br />_~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />~{ C~ Annual Report <br />Remarks <br /> <br />Signature Albert R. Frei, Pres <br /> <br />(Rev. 02/88) <br />5257F <br />0052f <br />