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~I~ II~II~~~~II~III~ <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 / 87 <br />Please complete the following and return this form with your fees <br />and reclamation data. <br />Enclosed are: Check space(s) below <br />_~}L Check or money order payable to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />,~}~ Annual Report <br />Remarks <br />Signature Albert R. Frei, Pres <br />(rev. 02/87) <br />5257F <br />