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~ •~ <br />Permit No: 77-62 <br />Anniversary Date: April 2 <br />Operator: Hallenbeck Construction, Inc. <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to the Colorado Mined Land <br />_ Reclamation Division far annual fees due <br />_ Annual Report <br />Remarks: Hallenbeck Conctrimtinn~nr_ ha.c cn7A +ho Gravnl Pit.. <br />Please send the Annual Reports. <br />