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<br />111/112 Enclosure <br />Permittee Name: Eagle-Gypsum Ltd <br />Permit No: M-84-041 <br />Operation Name: Eagle-Gypsum Mine <br />Anniversary Date: 12 / 24 / 86 <br />Please tanplete the following and return this form with your fees and <br />reclavation data. <br />Enclosed are: tCheck 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: GoP~,e-~ o ~ ~~~'D~ ~ ~~E' ~ e''~ t 1-0 <br />