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• ~~~~~~® <br />DEC 121986 <br />M- AT ON ~~ ISI~N 110 Enclosure <br />1~ECLAM <br />Permittee Name: Dick Casey Concr Inc <br />M-78-349 <br />Operation~Name: Dick Casey Concr Pit C~ C~ <br />Anniversary Date ;12/20/86 <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 />Annual Report <br />Signature <br />