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• r III IIIIIIIIIIIII III <br />999 <br />•~ <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />George Speer <br />td-83-176 <br />Speer Development <br />12/09/88 <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 Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: No ~c-1 ~~fi-f~1 I ti <br />Ma p o~ ~ I I e ~5 c~v~~'~'~. <br />(o6/as) DEC ~~ 1G~8 <br />0054f <br />MINI. <br />RECLAMh i r..;tv t;: ~.~i!OK <br />9 ~ ~ ~ IF= A ~ ,~ i««t:: <br />Si nature <br />