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<br /> <br />112 Ero:losure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Sterling S & G Co <br />M-77-439 <br />Pit No 1 <br />10/26 J86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />L~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />v, , <br />•. <br />