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. +~ <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />Permittee Name: Western Mobile, Inc. <br />Permit No: M-77-081 <br />Operation Name: Greeley W Pit <br />Anniversary Date: 09/12/90 <br />Total: E350.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report, map, and a check <br />or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />Signature <br />