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. /// <br />Permittee Name: Melvin Gieb <br />Permit No: M-76-018 <br />Operation Name: Gieb Pit <br />Anniversary Date: 10/17/88 <br />111/112 Enclosure <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 />J Map <br />Remarks: <br />,, , <br />Signature <br />(06/88) <br />0054f <br />