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<br />Permit No: 80-224 <br />Anniversary Date: January 6 <br />Operator: <br /> <br />Please complete the following and return this form with your fees and reclamation <br />data. <br />Enclosed are: (Chec.': box(es)) <br />Check or money order payable to Colorado Mined Land <br />® Reclamation Division for annual fees due <br />Annual Report <br />Remarks Tlotice of lnter.t. to Contimle Kinin~ Oparctions will be <br />Gont by .Tan. 31. 1983. <br />Fremont Pavin(* ?- Eedi-h:ix, Inc. <br />Signed, <br />RECEIVED <br />~I(~rir~3 <br />Ol'Y' ~ . ~~ <br />JAN 191983 <br />MINED LAND RECLAMATION <br />COLO. DEPT. OF NATURAL RESOURCES <br />