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<br /> <br />111/112 Enclosure <br />Permittee Name: Dakolios Construction Company <br />Permit No: M-R4-036 - <br />Operation Name: Dakolios Pit No. 1 <br />Anniversary Date: 04-30-88 <br />~'~ <br />Please complete the following and return this form with your <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />_~__ Check or money order payable to Colorado Mined Land <br />Division for annual fees due <br />g Annual Report <br />g Map <br />Remarks: <br />Signature <br />and <br />lamation <br />