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<br />! III IIIIIIIIIIIII III <br />112 Enclosure <br />Permittee Name: U S Soil Cond Co <br />Permit No: M-79-206- <br />Operation Name: MAVERICK PLACER <br />Anniversary Date: 06 / 16 / 85 <br />• <br />~ ; ~ s w <br />~ a.~~ ~ <br />II ~ ~~ <br />tJ!NED LAND <br />Please complete the following and return this fof'IEWi..i;jit.t)foTilOl~~~~~i~ <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: (/G/l~' <br />Go,~v/efe o~s^ iPeoo~Y~ ~/~~v s!/~1'i / /dfF August <br />-~ <br />4~~y esa~v <br />-~' <br />Signature ,j SOf! G~~n~/ G~~ <br />~1~6~~s <br />f <br />