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<br /> 111/1 2 Enclosure <br />Permittee Name: ~ ~ ~ ~ ~ ~~ <br />Permit No: Valco <br />Operation Name: ri-84-008 <br />Anniversary Date: Barnhart Pit M Y 141987 <br />05/09/87 <br /> <br />Please complete the following and return <br />reclamation data. <br /> <br />this form with your <br />RECLA <br />fees a NED LAND <br />ATION DIVI; <br />d <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined La nd Recl mation <br />Division for annual fees due - <br />Annual Report <br />Map <br />Remarks: ~i~¢GV ~ Uh/ s ~~ 7 <br /> <br /> <br /> <br /> <br /> ~-C/ <br /> <br /> <br />(.C_/ <br /> <br /> <br /> <br />Sig ature <br />(Rev. 02/87) <br />5257E <br /> <br />LION <br />