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• = iii iiiiiiiuiiu iii <br />.. - 999 <br />Permittee Name: Caldwell Brothers <br />Permit No: M-86-016 <br />Operation Name: Caldwell Brothers 3 <br />Anniversary Date: 06/01/88 <br />111/112 Enclosure <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enc1los/ed are: (Check space(s) below) <br />V Check or money order pdyable-to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: <br />'fit' <br />0 kii2 ,ate <br />MINED LANG <br />RECLAN)A7ipfJ ~1UI51Or! <br />Signature <br />(Rev. 02/88) <br />5257E <br />0054f <br />