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h . • • III IIIIIIIII IIII III <br />11(i Enclosure <br />Permittee Name: Beaver Brothers, Inc. <br />Permit No: M-77-443 <br />Operation Name: Moon Pit No 2 <br />Anniversary Date: 11/08/88 <br />Please complete the following and return this form with your fees and. <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br />Remarks: Please find enclosed Check IF1001 for the annual fees. <br />Signature/ <br />(Rev. 06/88) <br />0052f <br />flOV ~. ~~ 1983 <br />~ ~iiti i::i~ L/\I•VL• <br />ZECLHRRA e I Obl IJN~ "+~Oh <br />