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~ II I 1111111 111111 III ~ ~~ ~;~~: ~-- <br />999..,_ .,~~~ ~, ~~.~~ <br />MAY 1 9 112 Enclosure <br />1986 <br />Permittee Name: ;~ <br />Permit No: Jake Kauffman & Sor~ii•JEL ~.,,.:~ ~~ •~ <br />Operation Name: M-78-327- Colo. Dep?. Ol ('i?'.~~r8i n~,..,.....ca <br />Anniversary Date: KAUFFMAN PIT <br />05 /14/86 <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 for annual fees due <br />l/ Annual Report <br />~ Map <br />• <br />Remarks: F~«.~~~ ~ /9~5 h~s~~ ~ i~~~~ ~~,.-•.~~/~ n~,«-~ <br /> <br />~.~. <br />~ a-~,,.~-ate .~,~-G~~~C ~IKG'~c ~ -,.-.-~/' ~. e.~ i~x.r~~~,.-U. <br />/~,~...,.~T / a,c ,u. ~.--F-a/ .-~~EC,~~~,.:-c-~.C~ .~-lucre-2 ~.J~-n,+ «'/ <br />/~-1~~ iii ~.r..w /~..f~~. ~r ~ /. ed. ~.r ~-coi ~J <br />Signature ' ' <br />~rn.~-~°~ <br />~e <br />