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7 <br /> <br />110 and 111 Enclosure <br />Permittee Name: Melvin R Gydesen <br />Permit No: M-82-020- <br />Operation Name: LUCKY STRIKE LODE <br />Anniversary Date: 05 / 25 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />-Enclosed"are:-iCt~eck space(s1-below)-" ---- -- ~ -- - - - <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />