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<br />Permit No: 79-181 <br />Anniversary Date: September 1, 1980 <br />Operator: walker Mining & Milling, Inc. <br />Please complete the following and return this form with your fees and reclamation <br />data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />XX Reclamation Division for annual fees due <br />XX Ann uaZ Report <br />Remarks <br />Signed, <br />