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<br /> <br />4 <br />Ca restia <br />M-81-036 <br />Carestia <br />04/02/89 <br /> <br />110 Enclosure <br />5 <br />Trucking Company ~`~°~~r~~'}~P~~ <br />Pi t <br />APR 1 n i°S9 <br />R~CLA~J!P ~ IniL DlulslOh <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date• <br />ANNUAL REPORT: <br />l'1 Q.2td~ct; <br />S~i gna ure <br />