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• Q r <br /> L <br /> l ` <br /> 61P.Y 0 7 1y84 _ I <br /> � J <br /> Permit No: 73-21 COOLEY GRAVEL CO. <br /> Anniversary Date: May 23 <br /> Operator: Cooley Gravel Co. <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check box(es)) <br /> Check or money order payable to Colorado Mined Land <br /> X Reclamation Division for annual fees due <br /> Annual Report <br /> _X. <br /> Map <br /> Remarks I will contact you reeardinQ bond release when that <br /> decision is finalized later this Year. <br /> Signed <br /> I <br />