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~ III IIIIIIIIIIIIIIII <br />I W <br />Permittee Name: Robert Gerner <br />Permit No: M-81-108 <br />Operation Name: Pablo Vasquez Stone <br />Anniversary Date: 08/29/89 <br />• <br />®® 110 Enclosure <br />AU G 2 1 1989 <br />i~INED LF,fr~+ <br />RECLAh9R7fUN L;iv,~;!rtM <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />~.~~~y}G}}--'/~~J- C7~Gd' ~~c2~.._` ~,C~/.'emu s ~/ ~/~ <br />[/ ~.~ e X w. J 7' o J s/ <br />~~~, ~~/ <br />~... ~, ~i <br /> <br /> <br />~.~- ~~- <br />Signature <br />