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<br />III IIIIIIIIIIIII III <br />sss <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Horn Ranches, Inc. <br />M-83-102 <br />Horn Gravel Pit <br />08/02/89 <br /> <br />R~~~I~~osure <br />AU G 3 1 1989 <br />RECL!-lu1gT ON ~ v+•SION <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: f <br />C fff <br />~ DLO ~~'~ °/~~~2~cz~ 1~-~- <br />•t r <br />., S~nature <br />