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<br /> ~ ,~ iii ~iiiiii~iiiu ~~i <br /> <br /> ~~~~~~~10 Enclosure <br />Permittee Name: Farringtoq Contract Pf AY 1 $ ~98~ <br />Permit No: <br />Operation Name: M-79-034 <br />Gardner Grav81 Pit MINED u;;v~.. <br /> <br />Anniversary Date: <br />05/26/87 RECLAMATICb! Di`•/~~`<)N <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />y Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />w ~r <br />Signature <br />(Rev. 02/87) <br />5257E <br /> <br />5/(~~~~ <br />~. <br />~~ <br />e..~.p~ Y~.~,~ !~ ~~ ~..{..,-w~ /....P ,~/J. o~ o Q/mod' <br />J ZI ~!~ ~. d ~ ~O 5 a n .a_~F'~ ~ Y l~ ~ . ...~. L _ r ~ _ IT'If~fi <br />