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• i III IIIIIIIIIIIII III <br />110 ~~Tkl ~nclosure~3; <br />Richard E Curry <br />Permittee Name: M-81-236- M eR 2 h 15ao <br />Permit No: GRAND GRAVEL <br />Operation Name: 03 / 29 / 86 flai:9=~~' ~.~fi~3 ~~~~°~ ~:`.•'',? "; ,}1~ <br />Anniversary Date: Colo. Dep?. of P:~~_~~a~ Resat;:c~:; <br />Please compete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />// Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~ Annual Report <br />Remarks: <br />3 <br />.cc.~Y <br />Signature <br />