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J <br />~• <br />-' h <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Please return this fore <br />money order for annual <br />Division, 1313 Sherman <br />• <br />III IIIIIIIIIIIIIIII <br />999 ®® x/110 Encl osure <br />Loukonen Brothers 1"Il <br />M-81-277 <br />Loukonen Brothers DEC 51989 <br />01/71/90 MINED LAfvD <br />AECLAh9ATlON DIVISION <br />o_ with your completed Annual Report and a check or <br />fees due, payable to the Colorado Mined Land Reclamation <br />Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />~~u ~~~~~~~~ ~~ ~ <br />~~`'"~ 0 `tea ~n~`~-ems 'f~ ~LP YN a~-~...U d-U-~~"`~~~- <br />-~ ~g~v I~G/u~.ea~~7-b -~t ~IC.~iocQcwl, <br />Signature <br />