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'•,• <br />Permit i~o: 82-86 <br />Anniversary Date: June 11 <br />III IIIIIIIIIIIII III ~ ~,~ <br />Operator: <br />Please complete the following and return this fore with your fees and <br />reclamation data. <br />Enclosed are: <br />% Check or money order payable to Colorado Mined Land <br />_ Reclamation Division for annual fees due <br />X_ Annual Report RECEIVEp <br />AUG 1 I 1983 <br />k~ap ~ `9- ~~"''" MINED (AND RECUMAiIDN DIVISIDN <br />moo' ~ol• of Nnurol Resources <br />Remarks: Actual boundary lines haven't chanQpd_ WP HAVP naoA ~~y,,.,,,,;m,te,~ <br />~~~ <br />Signature <br />~~ «~ <br />~~ ~•~ <br />F i ~e <br />~- <br />