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-. ~ ~ • <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: M S Corporation <br />Operation Name: M_78_056 <br />Anniversary Date: Durham S&G Co Pit <br />09/26/87 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />' xxx Check or money order payable to Colorado Mined Land Reclamation <br />Division far annual fees due <br />xxx Annual Report <br />xxx Map <br />Remarks: <br />-l <br />Signature <br />(Rev. 02/87) <br />5257E <br />