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111 /112 Enclosure <br /> General Refact Cc <br /> Permittee Name: M_77_219 <br /> Permit No: Beulah Mine <br /> Operation Name: 03/22/88 <br /> Anniversary Date: <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 /> / Map RECEIVED <br /> d MAR 2 2 1988 <br /> Remarks: MINED LAND <br /> ION DIVISION <br /> Signa re <br /> (Rev. 02/87) <br /> 5257F <br />