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<br /> <br />~~ <br />• ~~ <br />110 and 111 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Colo Rose Red Corp <br />M-78-332- <br />COLO ROSE RED PIT <br />10/23/85 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) helow) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: <br /> <br />~/-5-~-~ <br /> <br /> <br /> <br />Nov o a t98s <br /> <br />Signature <br />i <br />