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. ~ ~~ <br />111/llf: Enclosure <br />Permittee Name: Sterling Mix <br />Permit No: M-76-056 <br />Operation Name: Riverside Pi ~- <br />Anniversary Date: 02/22/88 ~ ±a' <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~ Annual Report <br />~_ Map <br />Remarks: <br />C <br />Signature ~,~Xn~~t~!}~ n ~d ~' <br />(Rev. 02/87) C~ ~~ v ~1.`~ R.~(l 6~ <br />5257E <br />