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. • i <br />111/112 Enclosure <br />Cfincv~ C~ yy <br />Permittee Name: Va1co a Concrete Div. <br />Permit No: M-77-559 <br />Operation Name: Canon City East Pit <br />Anniversary Date: 02/22/89 <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 />X Map <br />Remarks : _~_~ ~ `~Q-iZ ~ `P'CL2 Irv. ~V.a S~ \ ~ ~..5 <br />\Q.~sd C~~ ~ ~~~ S~~Wta~~ ~1~ ~`a~5 ~~~~ <br />- A <br />Signature <br />(06/88) <br />0054f <br />