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<br />.. • <br />Permit No: 80-203 <br />Anniversary Date: June 29 <br />Operator: Carleton Currier <br />f <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br /> <br /> <br />Remarks: <br />Check or money order payable to the Colorado Mined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />MINED LAND RECLAMATION DIVIS,_.1 N~ 1843 <br />1313 Sherman Street Room 423 <br />i i Denver, CO 80203 .. DcrE~4 "cart 'IB <br />^303) 866-3567 <br />RECEIVED FRO 11 <br /> ~~ <br />THE SUM OF J DOLLARS $ ~ <br /> ^ cns-i <br /> HECK <br />FOR r\ ^rn a <br /> . <br />AMOUNT OF AC UNT... ... $ <br />llanl~ oul <br />AMOUNT PAID ............. ... $ <br />BALANCE DUE ............ ... $ BY ~ 1~-- <br />DUFFORD, WALDECK, RULAND, <br />WTSE~i~BURN <br />I+v. ~ -- ---- ~ - <br />Signature RICHARD H. KROHN, #7490 <br />Attorney and Agent for Carleton Currier <br />P. O. Box 2188 <br />Grand Junction, CO 81502 <br />~ v.. <br /> <br />?:il\IED LAi~!D RcCL,°.ialrll"IO.J CIVISIU! I <br />Colo. Depi. of P!atural Resource; <br />