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~ -• • • <br />112 Enclosure <br />Permittee Name: Robinson Brick Co <br />Permit No: M-80-245- <br />Operation Name: HOGBACK MINE <br />Anniversary Date: 02 / 10 / 86 <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 <br />Remarks: <br />rf~~~ '_ol ~~, <br />FEB 1819811 <br />Signature <br />