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<br />110 and 111 Enclosure <br />Permittee Name: Walker Mng & Milling <br />Permit No: M-79-181 <br />Operation Name: Ruby Trust Mine <br />Anniversary Date: 09/01/86 <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 far annual fees due <br />Annual Report <br />Remarks: <br />~ ;/ <br />/;G ~, <br />gnature <br />