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1111112 Enclosure <br /> Permittee Name: <br /> Permit No: Bestway Paving Co <br /> Operation Name: M-77-315 <br /> Anniversary Date: Pit No 1 <br /> 04/23/87 <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 annual fees due <br /> x Annual Report <br /> x Map <br /> Remarks: <br /> Signature 13=-WAY PAV-16fG COMPANY <br /> (Rev. 02187) <br /> 5257F <br />