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<br />• III ~II~I~~II~~II III • <br />110 Enclosure <br />- =~ ~ ~ RECEI ED <br />Permittee Name: John Dillon <br />Permit No: td-86-165 SrP 1198 <br />Operation Name: Willow Bend <br />Anniversary Date: 08/27/89 MINED LAN <br />RECLAMATION DI ISION <br />Please return this form with your completed Annual Report and a c eck or <br />money order for annual fees due, payable to the Colorado Mined La d Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />~ ~ ~o ~~~~~ boa <br />Signa , <br /> <br />