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~ iiiiiiiiiiiiiiuiii • <br /> <br />110 and 111 Enclosure <br />Permittee iJame: Phillips Stone Co <br />Permit No: ...,^ <br />Operation Name: M-81-075- ~~.~~ '~! i;;+,~, <br />Anniversary Date: NOLAN QUARRY <br />07/30/86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />__ En/clo/sed a_re: (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 />~/ <br />Remarks: ~h_~vrir/n <br />)~ <br />c-~ <br />~r n~ -~ a~..~ bra-, ,~Sr a .~,.~ Y'-~.~ <br /> <br /> <br />Signature <br />~s~ <br />~ 1 ~3i8'6 <br />~~~ <br />~~ ~~- <br />