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~ ~`~`l V III IIIIIIIIIIIIIIII <br />. Eu <br />FE9 71391) 110 Enclosure <br />MINED LAALD <br />RECLgMAT1ON bIVIS1ON <br />Permittee Name: James L. Treat <br />Permit No: M-80-041 <br />Operation Name: Rock Gulch Grav Pit <br />Anniversary Date: 04/03/90 <br />Total: 550.00 (Due on the Anniversary Date'1 <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />Enclosed is my check in amount of $50.00 for annual fees. <br />Remarks: Reclamation plan remains unchanged <br />Map attached indicating usage areas. <br />~y <br />