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<br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: . <br />Anniversary Date: <br />• - <br />Carleton Currier <br />M-80-203 <br />Currier Gravel Pit <br />06/29/87 <br />RE ~1!/ED <br />JUN 2 9 198111 0 Enclosure <br />MINED LAND <br />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 />-Oiyi-sion for• annual fees -due <br />Annual Report <br />Signature <br />(Rev. 02/87) <br />5257E <br />~~ y/~ 2 <br />~ ~. <br />(~ O <br />