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<br />_ ~ - - <br />~I I I ~~' I~ ~ I~ II~~ ~I~ <br />sss <br />110 and 111 Enclosure <br />Permittee Name: Louis M Wyman <br />Permit No: M-83-037- <br />Operation Name: WYMAN PIT <br />Anniversary Date: 05 j 31 J 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />X Annual Report <br />n .~..,. <br />_ ~ ~ J O <br /> <br />Signature <br />