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• <br />- - 110 Enclosure <br />Permittee Name: ~ ~ ~ ~ ~ ~ ~ D <br />Permit No: Leonard w Lloyd JUN 11198T <br />Operation Name: M-80-228 <br />Anniversary Date: Triangle One Pit MINi:D LAND <br />04/27/87 RECLAMATION DIVISION <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 />D14iSf0n fJr` drnrUai Tres due <br />Annual Report <br />7 <br />~~ <br />~`` ~Q <br />(Rev. 02/87) a'Y_' . <br />5257E <br />