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112 Attachment <br /> �e�rriittee Name: Nielson Inc <br /> peration Name: CRAIG GRAVEL PIT <br /> Permit No: 77_10 <br /> Anniversary Date: June 17 <br /> Operator: <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check box(es) ) <br /> 1 <br /> d <br /> 1T—)d Check or money order payable to Colorado Mined Land <br /> Reclamation Division for annual fees due <br /> I,I Annual Report <br /> 1-1 Map <br /> Remarks: ANNUAL REPORT & MAP TO F0I,I,014 UNDER 4FPARATF f`OVFR <br /> F <br /> A <br /> -PLEASE MAIL A RECEIPT. f <br /> Signature j Douglas L. Conger <br /> Engineering Geologist <br /> (Rev. 5/84) <br /> Doc. No. 1805 <br /> CC : Craig Pit , Engr. (2) <br />