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-T <br />~~ ~ ~ ~~ <br />110 and 111 Enclosure <br />l~'a~a.d~~~~ir <br />Permittee Name: Leonard W Lloyd <br />Operation~Name: MR8ANGLE ONE PIT JUN 1 8 ~ <br />Anniversary Date: 04 / 27 / 86 <br />E41iNED LAND RECLAMAtiDN <br />Colo. Depl. of ~~t?'.~~r~! R[~sou~ces <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 for annual fees due <br />/ Annual Report <br />Remarks: <br />s; <br />~~~~~~~ <br />~"~~~~ <br />