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'~ iii iiiiiiiiii -_ _ ~", <br />' ~ 999 'll 'II <br />~ 110 Enclosure <br />RE~~~V~~ <br />Permittee Name: Loukonen Brothers <br />Permi t No: M-81-277 ~AN 111985 <br />Operation Name: Loukonen Brothers <br />Anniversary Date: O1 /11 /88 MINED LAND <br />RECLAMATIQN f~l'JIgiON <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />i I~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees_due__.____ .. _ ._ __ _ _ _ <br />Annual Report <br /> <br /> <br />oe- ra~~' <br />Remarks: ,.~ /~j,(~ IS:PP.Pin.d,7s-~~ ~fM ~ l/,.~i~,~,/ ~.~, ~%~ <br />~,. , , ,b.,. F~ - <br />Signature <br />(Rev. 02187) <br />5257E <br />