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<br /> <br />~~ <br />Permittee Name: Richard D. Mott RECEIVED <br />Permit No: 80-49 <br />Operation Name: {=~B '~~ ~~AS <br />Anniversary Date: February 18 <br />MlColoLDeDf ofNalure?IResouV~es~N <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 />J Annual Report <br />~~ <br />Remarks: <br />// ~J n /' ~ <br />-~ <br />MINED LAND RECLAMATION DI-~N N ~ 310 6 - <br />' 1313 Sherman Street Room 42~ /1 / Q ~g <br />Denver, CO 80203 DATE ~-~-< - <br />(303) 861367 ~ ~~n ~n <br />RECEIVED FROM B <br />~ / /'~ pOLLARS ~ <br />THE SUM ._ n/7 ~j 1-y' % C_~~a-o cK - <br />~~l <br />Signatu,,: <br />FOR ' ~' - <br />AMOUNT OF ACCOUNT.. ....$ <br />AMOUNT PAID ................ $ <br />BALANCE DUE ............... $ <br />G-t,~-n-~, v~'~s~ <br /> <br />~ v 4 <br />7'~ <br />110 and 111 Enclosure <br />