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• , <br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Carder Inc <br />M-85-014- <br />BONNIE EARL PIT <br />04 / 12 / 86 <br /> <br />110 and 1111Enclosure <br />Please complete the following and return this form with your fees and' <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />k Check or money order payable to Colorado Mined Land Reclamaition <br />Division for annual fees due <br />Y Annual Report <br />Remarks: <br />/' (f'P2oy 3 /a~,e~s u~AS ~~ji£BT~IJ /~~/ln//N6 ;~/E ~~'sP' -y.~i9.2 <br />B k¢PPr°~° l~L ~~~~' u~,c.c. !j e H ~,~2eT~r~ ~~s y~,a~- <br />l,~ ~'~7Y'[t~. GvA+S '- L~9~~i2-~/Q 9= / ~G2~£ ~R'1 ~G~v ~oi~6p <br />gnature <br />