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• <br /> <br />Permittee Name: Schmalz Const Ltd <br />Permit No: M-85-023 <br />Operation Name: Hollenbeck Pit <br />Anniversary Date: 05/06/87 <br /> <br />110 Enclosure <br />~=~ -~ <br />:.,,.. <br />h1AY 221987 ~ <br />~r <br />:i111 . ~ ~aiVi: <br />fiEC;LA;viltiTi(3i`J QiUiyi(lA, <br />Please complete the following and return this form with your feesiand <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 />~_ Annual Report <br />Remarks: <br />MINED LAND RECLAMATION DID , JN N~ 0 0 6 0 8 4 <br />1313 Sherman, Room 473 <br />i Denver, Colorado 80203 <br />(3 3) 63567 DarE Z 2 fs <br />RECEIVED FROM <br />THE SUM OF ' ~0~~'DOLLARS $ ~ ~ <br />/~~ n ^ nA ~EC <br />FOR ~/~~ I ~ \ ~/ 1/ ~Y~ ~ ~nnp <br />i AMOUNT DF ACCOUNT...... $ ~~ O <br />AMOUNT PAID ................ $ <br />BALANCE DUE ............... $ BY "`(((~~~~~~..JJJ... ~ <br />Signature Office Manager <br />(Rev. 02/87) <br />5257E <br />5/a ~l S'7 <br />~-~ ~ <br />~I <br />