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<br />{ 4 <br /> <br /> <br />111/112 Enclosure <br />Permittee Name: Federal Resources Corp <br />~ Permit No: M-82-090 <br />Operation Name: Camp Bird Colo Inc <br />Anniversary Date: 12 / 07 / 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 orQer payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: <br />i~''~.' L~ c: <br />gnature <br />.v ~ <br />/ ,, . <br />z- ~ .l: <br />