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~ iii iiiiiii iiiiiiii <br />999 <br />N <br />111/112 Enclosure <br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Sterling Sand & Gravei Co. <br />M-79-191 <br />Three Bells Pit <br />01/31/90 <br />Please return this form with your completed Annual Report, map, and a <br />check or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />Signature <br />