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r,^ ~~ <br />110 Enclosure <br />-. MAY 0 9 1390 <br />Permittee Name: Melvin R. Gydeseri MINEOl.A1`aD <br />Permit No: M-82-020 -,~ri nl~Apv~nc~1 (1i~~'r" ' <br />Operation Name: lucky Strike Lode •- <br />Anniversary Date: 05/25/90 <br />Total: E50.00 (Due on the Anniversary Date) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />' ~'.~.~ ~ G _ ~- <br />~ ~ <br />~ ~ ~ ~ <br />Signature <br />