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<br />112 Attachment <br />Permittee Name: Exxon Corporation 1' <br />Operation Name: Colony Shale Oil Project RECEI Y rD <br />Permit No: Rn-47 NOv n ~ ,~. <br />Anniversary Date: Nnvamhar ~ M1NED~,gNpREO~AMAT;N~,,1,1,iS1~~ <br />C0~0. DeDI. m .Na~ursr IrC.•s:,~..i.r.. <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />IX I Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />-~ Annual Report <br />~-~ Map <br />Remarks: The Colonv Shale Oil Proiect's annual report will be submitted <br />prior to December 31, 1984 as agreed by the Division in a letter from <br />Mr. J. B. McArdle to Mr. R. E. Niemela dated September 5, 1984. <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br />