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~~~~~~ <br />:f S ~ P 81987 ~ <br />111/112 Enclosure <br />MINtD LAND <br />Permittee Name: Colorado Sand & Gravel DECLAMATION DIVISION <br />Permit No: M-80-110 <br />Operation Name: Henderson Dev <br />Anniversary Date: 09/09/87 <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 Reclamation <br />Division for annual fees due <br />x Annual Report <br />x Map <br />Remarks: (See letter of September 4, 1987 attached) <br />, <br />Signature Robert Si ist, Managing Partner <br />(R@V. 02/87) COLORADO SAND & GRAVEL CO. <br />5257E <br />