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112 Enclosure <br /> Permittee Name: Flatiron S & G Co <br /> Permit No: M-81-302- <br /> Operation Name: DEEPE FARM PIT <br /> Anniversary Date: 10 / 13 / 85 <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 /> i. <br /> o�F �g'"UIlggss <br /> �BQt. of �C 4A <br /> A s��4R� <br /> Signature if <br />