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• ~ , ; • III III'IIIII"II III <br />~~~ ~ ~ yr ~ ® 110 Enclosure <br />Permittee Name: B & G Stone AUG ? 2 1988 <br />Permit No: M-87-092 AnihaaD ;-~,i~.u <br />Operation Name: B & G Stone RECLAMAI'IC~iV UI'~I~11C1N <br />Anniversary Date: 08/25/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to~Cvlorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br /> <br />~',Ll <br />Signature <br />(Rev. 06/88 ) <br />0052f <br />O <br />ddd v , <br />