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• ~~ ~ ~ <br />Notice of Intent to Continue Mining Operati~~ ~ ~ ~ ~ ~ D <br />112 Annual Report <br />Permittee Name: Thomas F. & Ginger L. Latham AU G 1({1~a~ <br />Permit No: M-81-058 MINEd LAND <br />Operation Name: Debeque Gravel Pit ~Frl gMArInN nnn~^•~ <br />Anniversary Date: 09/07/90 <br />Total: E350.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report, map, and a check <br />or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />_~_~. ~~t <br /> <br />MINED VD RECL4MATION DIVISION <br />. ~ 13 Sherman, Rm. 215 <br />Denver, Colorado 80203 <br />(303) SIi6-3567 <br />RECENED -f ~J ~ ~ <br />r~, 13760 <br />GATE v ~ ~ y 19 ~~ <br />~U,C/ <br />/V Vy} / p ~~-CH~ ECK <br />FOR ~ P D /'/-JI SO I( c~~ ^M.D. <br />AMOUNT OF A IOUNT....... ...$ (p ~ /~'O~ I <br />AMOUNT PAID .. ...$ J `'JA <br />BALANCE DUE ............... ..$ 8Y <br />y~ J <br />Signature <br />~ ~~~ <br />~~ coy <br />\~~q0 <br />~\ <br />