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<br />~ • III IIIIIIIIIIIII III • • <br />111/112 Enclosure <br />Permittee Name: Valco Gunnison Concrete Div. <br />Permit No: M-77-023 <br />Operation Name: Ready Mix Pit <br />Anniversary Date: 01/23/89 <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 />_~ I9ap <br />Remarks: <br />Signature <br />