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~' ~ .. • <br />110 Enclosure <br />Permittee Name: Colorado Lien Co <br />Permit No: M-7 HR <br />Operation Name: Munr rry <br />Anniversary Date: 06/16/ <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 />Remarks: <br />(Rev. 02/87) <br />5257E <br />