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M <br />Permittee Name: Carestia Trucking Company <br />Permit No: M-81-036 <br />Operation Name: Carestia Pit <br />Anniversary Date: 04/02/90 <br />Total: E50.00 (Due ~m the Anniversary Date) <br />110 Enclosure <br />Please return this form with your complete~t Annual Report and a check or <br />money order for annual fees due, payable t~ the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, D~rnver, Colorado 80203. <br />ANNUAL REPORT: <br />~~ <br />Signature <br /> <br />