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:~ <br />~i 1ST <br />F~ <br />Permit iVO: g0-205 ART'S FERTILIZER CO., INC. <br />Anniversary Date: October 2 <br />Operator: <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 f+lined Land <br />_ Reclamation Division for annual fees due <br />Annual Report <br />Remarks: <br />Signature <br />RECEIVED <br />OCT 111983 <br />MINED LAND RECUAiAT10N DIVISION <br />Colo. Dept of Neturel Resources <br />