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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />_ _ <br />III IIIIIIIII'IIIIII ~~~;~~~110 Enclosure <br />Ricky W. <br />M-87-023 <br />Mitchell <br />03/31/89 <br />Mitchel ] MAR 2 ~± 1989 <br />Pit MiNkOII~ND <br />Fi~GI.AMAS'tQh1 DIVIStOt`l <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~'`'~ <br />~~~~ <br />_~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~_ Annual Report <br />None ~ s <br />Remarks: ~/V/uuN[ ~~~ -- TH/s PfJsT Y~FC wrz' H~N6' ~~MC~cd <br />f}PfRoK ~s S~_TOn/ of GRs1v~'[ FRo/vr THIS PiT Wa 1nm-~.T <br />o CBNi'i/uu~ 'THIS Mi~1//vG OPk'2ATroH Tt/~S ~h'i~R, 7l~is <br />Da c-r ~i'-~n / t MClD- /GDO) •_ i^ iL~., f~ ._ _. .. ~.~~..rnn /! ~vu~~ <br />FROM T/fFt TASTh'RLY MN7O1.E PRR'T OF Tff~ PFz'RM~T'TF'd <br />AGRES /~l/ A W~ST !'Rn~tY O fR><CTCn/ 7rowggOS ~if6 L/fisrr~4.v <br /> <br />L~jOL(ni~RRY ©F T~/~ ~/iRMrTI7i0 A ~b?~L S ., /1 N A^-tBN0~2~ To <br />'~1$ PfiRM/T HCR£ BOt,tNDAR/6'S bt9/LL R~ SGtBM/TT1lel ?3iS'S Yi£AK <br />@GtiuCltRiyiuG ~fF' isgST FlwO G/~ST' ~{02as fiBD SN /9g9-/990 <br />TOw5K05 ~ WrCI)4RN t<'O61i s RT Tl/IS TM!c Wli ipq!/$ y~ RKCLR/M~/J <br />ANy dl- 7sr2 AFlc'~cr~n A4RA. <br />Signat re <br />