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� III IIIIIIIIIIIIIIiI �� <br /> < 999 <br /> T11/112 Enclosure <br /> 4AR"3 0 1390 <br /> Permittee Name: J. and M. Schmahl �� A41NEDLAND <br /> Permit No: M-84-001 — A.MATIOM n:1. <br /> Operation Name: Surface Rock Pit <br /> Anniversary Date: 04/04/90 <br /> Total : $350.00 (Due on the Anniversary D te) <br /> Please return this form with your completed Annual Report, map, and a <br /> check or money order for annual fees due, payable to the Colorad Mined Land <br /> Reclamation Division, 1313 Sherman Street, Room 215, Denver, Col rado 80203. <br /> ANNUA T: <br /> Enclosed are copies of maps showing the location of mi ing activity. <br /> Annual Report <br /> Check for $350. 00 <br /> Irrevocable letter of credit #LC0050 <br /> J <br /> 5 <br /> Signature <br />