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~;~-- <br />III IIIIIIIIIIIII III ~ <br />110 and 111 Enclosure <br />~. <br />Permittee Name: Earl L Hale JUL e <br />Permit No: M-81-121- <br />Operation Name: HALE PIT MIN@D LAND <br />Anniversary Date: 07 / 23 / 85 6iSCLAIVIA71ON DIVISION <br />.m _, _•J. <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~_ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~_ Annual Report <br />~~~ ~ ~~ <br />Signature <br />~~q~ ~5 <br />~ ~ ~' ~ <br />~(~ <br />