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<br />r~ <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />M S Corporation <br />M-78-056 <br />Durham S8G Co Pit <br />09/26/88 <br />Please complete the following and return this form wit~~r fe~ ~pde~ <br />reclamation data.~P9~ <br />Enclosed are: (Check space(s) below) <br />ocT is ~9aa <br />IYII ._~ 1 ISJIV~l; <br />xxx Check or money order payable to Colorado Mi~e~4fa9(tQ`~~~C~a~a~ion <br />Division for annual fees due <br />xxx Annual Report <br />Map <br />Remarks: please change the operation name to M&M Sand and Gravel <br />~Q~ <br />Signature <br />(06/88 ) <br />0054f <br />