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112 Attachment <br /> Permittee Name: Restway Pavina Company <br /> Operation Name: n <br /> Permit No: 77-'315 At", IoLb <br /> Anniversary Date: April 23 <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check box(es) ) <br /> 1=1 Check or money order payable to Colorado Mined Land <br /> Reclamation Division for annual fees due <br /> I_1 Annual Report <br /> 1_1 Map <br /> Remarks: The annual report and map for continual mining operations will <br /> be sent within thirty (30) days. <br /> W� <br /> a,— <br /> Sf6nvaeure Vice-President and Genera Counsel <br /> (Rev. 5/84) <br /> Doc. No. 1805 <br />