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<br /> <br />110 and 111 Enclosure <br />Permittee Name: <br />Permit No: Carleton Currier <br />Operation Name: M-80-203- <br />Anniversary Date: CURRIER GRAVEL PIT <br />06/29/86 <br />~ ~ ~' '~ '' l9ES <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 />Remarks: ~~.~r ~ '~. ,~ ,,dam,.,-,,.+r.(~ ~~~u'E G~w. ~4~.~vr,.~, , <br />D~ il.a-o„ G-a ~iL o. ~e-a....~i, (~ .firz _ ~st !r-~^ s~-, <br /> MINED LAND f~_JIMATION DIVISION N O O~ 3 8 <br /> 1313 Sherman, Room 423 <br />Denver, Colorado 50203 DATE, A O~,B ~ <br />(303) 866-3567 <br />V v <br /> n <br />RECEIVED FROM ~[~00~ ` ~~ 1 Q~ <br /> THE SUM OF ~ OO OLLARB $ SO • `-' `~ <br />~ ocK <br />~ <br />~ <br />7 <br />FOR 1--'~ I IM ~LYS/ /' 1 - ~o~~ao3 <br /> <br /> /~' I <br />(~ q <br />( <br />I <br />AMOUNT OF ACCOUNT...... $ J lQll~ _U~u <br /> ! <br />AMOUNT PAID ................ $ ~/ <br /> BALANCE DUE ............... $ BV <br /> <br />Signature <br />-7~(5"~~ ~y~ <br />• ~" 4 <br />I%(Q <br />