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Notice of Intent to Continue Mining Operations <br /> 112 Annual Report <br /> Permittee Name: Mobile Premix, Inc. <br /> Permit No: M-77-184 <br /> Operation Name: Ft Collins Pit <br /> Anniversary Date: 10/30/90 <br /> Total : $350.00 (Due on your Anniversary Date) <br /> Please return this form with your completed Annual Report, map, and a check <br /> or money order for annual fees due, payable to the Colorado Mined Land <br /> Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br /> ANNUAL REPORT: <br /> Signature <br />