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Permit No: 83-13 <br />II Anniversary Date: April 8 <br />I <br />Operator: Corn Construction Co. <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />-~- <br />Map <br />Remarks <br /> <br /> MINED LAND RECLAMATION DIVISIC" NO 1569 <br /> 1313 Sherman Street Room 423 <br /> _ <br />Denver, CO 80203 onrE SCI `~ is o L <br /> (303) 866-3567 <br /> RECEIVED FROM wry-: ~ ~~ ~ ~~.A.^+--<~'.S~ ~u <br /> THE SUM OF ~/ I'_.r-. pOLLARS $ ~ ~ 51 , . Ch <br /> ~~ <br />cK <br />R <br />~ <br />~ ~x <br /> FOR ' <br />'Yi ~ <br />' <br />' ~.< l ~~3 ~. 'I ni..io <br /> <br /> AMOUNT OF ACCOUNT...... $ q <br />I <br />~ <br /> ull-G VI~u <br />AMOUNT PAID. $ <br /> BALANCE DUE ............... $ BY t' -` •' :_ ~U <br /> <br />~. <br />Signed <br />