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. ~ • • III IIIIIIIIIIIII III <br />1 112 Enclosure <br />~~~EIVE~ ; ~«3 <br />Permittee Name: Cooley Gravel Co ~~AY 1~ 1981 <br />Permit No: M-73-021 <br />Operation Name: Morrison Quarry MINEU LHND <br />Anni versary Date: 05/23/87 RECLAMATION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for arn~al fees due <br />Annual Report <br />Map <br />Remarks: Annual Report and Maps will be submitted prior to anniversary date. <br />~~~ ~ <br />Signature <br />fRev. 02/87) <br />5257E <br />sl( ~/~7 <br />~,~~ <br />(~ <br />