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• iii iiiiiiiiiiiu-iii <br />999 <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Permittee Name: Butala Construc~iAn Cpmpany <br />Permit No: f4-77-170 <br />Operation Name: Butala Gravel Pit <br />Anniversary Date: 10/01/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x <br />x <br />x <br />Remarks: <br />Annual Report <br />Map <br />,. 111/112 Enclosure <br />--. ;_ <br />~„ ~ '-'3 ~93g <br />~~ <br />0054f <br />