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iiiiiiiiiiiii • • <br />110 Enclosure <br />~.•~ , <br />ij_ ,`~i.r~`.r;_ <br />~ ~• _ <br />Permittee Name: Dick Casey Concrete, Inc. ~ `~,^ ;., <br />Permit No: td-78-349 Dt~ . _ <br />Operation Name: Dick Casey Concr Pit =-~~ 10~~ <br />Anni versary Date: 12/20/88 ~ rcr1, ~; , ` ~ . <br />- ; <br />Please complete the following and return this form with your fees and ~~`:r <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />g Check or money order payable to Colorado Mined Land Reclamation <br />- Division for annual fees due <br />Annual Report <br />Remarks: ANNUAL REPORT TO FOLLOW IN EARLY 1989 <br /> <br />Signature <br />(Rev. 06/88) <br />OGi;2f <br />