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~ i <br />.; <br />112 Attachment <br />Permittee Name: W. R. & W. T. Hall <br />Operation Name: ~_ c ~eA yE ~ PiT RECEIVED <br />Permit No: 83-142 DEC2~~ 19~' <br />Anniversary Date: December 21 r~-lµpR€CL~~~!9~19~~ <br />~, per. of Watu[zl R~ <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />ICI Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />I-I Annual Report <br />I_I Map <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br /> <br />