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~ oii oiooiooiooooooio ° <br />999 {~R~j nn <br />~~~~! ~! ~I~71/112 Enclosure <br />Perini ttee Name: u u ~~L 2 9 ~~~7 <br />Albert Frei & Sons Inc <br />Permit No: M-83-033 MINEDLP.ND <br />Operation Name: Wal strum Mine ~~CUgMp,TlON DIVISION <br />Anniversary Date: 06/23/87 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enc1lo/sed are: (Check space(s) below) <br />l~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due _ <br />Annual Report <br />Map <br />Remarks: <br />/~ <br />Signature <br />(Rev. 02/87) <br />5257E <br />7/.~0 /~~ <br />"/r(•~ / U <br />1 Q. <br />