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<br />. y ~ ~ --• ~-n, 110 Enclosure <br />Permittee Name: Robert Gerner 2`~ to~8 <br />Permit No: M-81-108 n,tl (; <br />Operation Name: Pablo Vasquez Stone ; ;,;,~_-_ <br />Anniversary Date: 08/29/88 ~t~•;~: _'` -" ' • <br />~r~C`.I,i~;~f l < i ~ ~ ,U Ells tz~' :) <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 />/~.c~ <br />Signathre <br />(Rev. 06/88) <br />0052f <br />