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~~~ ~u~unnmm <br />99$ <br />I ~~~~ 11/112 Enclosure <br />Permittee Name: Miller Ber+end~'Companv MAR ~® <br />Perm; t No: M-82-112 13 1989 <br />AnniversarvaDate: 03/11/ggravel Pit ~EC~AMATDpNDID~giQN <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />df Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: u/,. Lv,„ {„_.,,~., <br />Th4 ['_ iw-. ()v .-. ~ A ~ /L.. ~ ~H/. /' i J i-~~ 6 ISJ ~~, L MD uI-. T <br />JlJ1.~,CLt- /! n ~, s d r.. ! ~ fa Ye r / ~ ~ fio v ~ti. e ~ 1'- &'{'~ <br />~~ / .r-~ <br />~~/! ~~ 6' // f ~ L p 7"~1LC' / +1 /'O/rH~ ~~~/a~r~ °~ 1./G~1/ <br />/ <br />~/ G ti <br />i nature ~ <br /> <br />