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IIIIIIIIIIIII III <br /> Permit No: 77-315 RECEIVED <br /> JUN 41984 <br /> Anniversary Date: April 23 <br /> MINED LAND RECLAMATION DIVISION <br /> Colo. Dept of Nsturel Resources <br /> Operator: Bestway Paving Company <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check box(es) ) <br /> Check or money order payable to Colorado Mined Land <br /> Reclamation Division for annual fees due <br /> Annual Report <br /> Map <br /> Remarks Report will follow within fifteen (1 ;1 A g <br /> Signed ---1ioruAs A. c N <br /> Vice President/General Counsel <br />