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<br /> <br />112 Enclosure <br />Permittee Name: Albert Frei and Sons, Inc. <br />Permit No: M-77-153 <br />Operation Name: Hazeltine Pit, <br />Anniversary Date: 02 / 07 / 86 <br />Please complete the following and return this form with your fees <br />and reclamation data. <br />Enclosed ace: Check space(s) below <br />~~ Check or money order payable to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />~~ Annual Report <br />~ ACC _ Map <br />Remarks: <br />Signature Albert R. Frei, President <br />