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~. <br />r ~ <br />~ ~II II~IIIII~III~ Ifl ~ <br /> 999 <br /> 111/1 2 Enclosure <br /> ;~~ <br />Permittee Name: J. & M. Schmahl _,. -~ - ~ <br />Permit No: M-84-001 <br />Operation Name: Surface Rock Pit r ~ •poc) <br />Anniversary Date: 04/04/ 89 <br /> <br />Please complete the following and return this form with your fees a <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />_~_ Check or money order payable to Colorado Mined Land Reclai <br />Division for annual fees due <br />g Annual Report <br />_~_ Ma p <br />Remarks: wE ARE STILL WORKING ON THE BOND, HOPE IT WILL B <br />ation <br />~ IN SOON. <br />a V <br />Signature <br />7361 G <br />0054f <br /> <br />