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<br /> <br />111/1'12 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Valco Inc <br />M-77-572 <br />Lamar East Pit <br />03/22/88 <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 Recl~imation <br />Division for annual fees due <br />Annual Report <br />~/ Map <br />Remarks: <br />Signature <br />(Rev. 02/87) <br />5257E <br />