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~~; • -~j • IIIIIIIIIIIIIIIIIII <br />• sss <br />' 111/112 Enclosure <br />RECEIVED <br />Permittee Name: Broderick & Gibbons <br />Permit No: M-81-307 DEC 71989 <br />Operation Name: Fountain ~it <br />anniversary oate: 12/03/ 89 ' MINED LAND <br />RECLAMATION DIVISION <br />Please complete the following and return this form with your fees and <br />~~eclamation data. <br />;nclosed are: (Check spacefs) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~__ Annual Report <br />Map <br />rPcz <br />r- <br />Ar. /~ c' <br /> <br />~, <br />S~gna re <br />IU6/88) <br />00 ,4f <br /> <br />