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.~ • <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />- • <br />Jelen $ Son, Inc. rr~~ - ~ l' 1:19:1 <br />M-83-011 .,,~~~~~ ~~~~ <br />Willow Creek Mine Fsu,_:=.«iA7l:liJCilVk;~)iV <br />02/23/90 <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 />ANNUAL REPORT: I <br />~~~~o~c~f%aN~ ~am,Q~,~nq ~dn~ ~Iwr~~~r /9~~ <br />Ja"~ . <br />