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<br />=. <br /> <br />P~~ <br />.,.:~~,,,.x„1,)0~~,11 Enclosure <br />~~lmEO ~~~~ ~~ci ~~~~T~^-~ <br />('~,~.~~ ~.u1.~ai1'~....r <br />Permittee Name: Texas Mng & Exp Co <br />Permit No: M-84-094- <br />Operation Name: GLORIA Z MINE <br />Anniversary Date: 07 / 17 / 85 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />- -Enclosed are: (Check space(s) tielow) - <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: ~/,fin/ ,~/~.f„ ; l~/fir i ~~s~~~.,G /~ ~~~ ~..- <br />r <br />~I~~~S <br />^!!' ~ ~P. ~ ~iia~~ 7= ~/~- aryl . ~ ~"4 <br />Signature <br />~i ~~ <br />