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., .. ~ ~ ~~~ IIIIIIIIIIIII~~~ <br />110 Enclosure <br />Permittee Name: '~ <br />Beaver Brothers Inc DEC ? ? 1°87 <br />Permit No: M_77_443 <br />Operation Name: Moon Pit No 2 r~ r <br />M.~a.~~•.... <br />Anniversary Date: 11/08/87 CiECLARAA~=~:s' r;;t;~;, ..., <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 Re~:lamation <br />Division for annual fees due <br />x Annual Report <br />Remarks: please find enclosed Check ~k11579 for the annual fee. <br />I <br />S gn ture /~// <br />(Rev. 02/87) (~U( <br />5257E <br />