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• • III IIIIIIIIIIIIIIII <br />999 <br />-, <br />' „~-~ •-'; -. 110 Enclosure <br />~~` :: <br />Permittee Name: F. & K. Holsinger ~pR ~~~9oa <br />Permit No: M-80-052 <br />Operation Name: Holsinger Gravel Pit •~~ •`, .~• ~~~ <br />Anniversa Date: 04 23 88 " ~ ' <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 Reclamatioi <br />Division for annual fees due - - - <br />~~ Annual Report <br />SignatLre <br />7288G <br />0052f <br /> <br />