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~ RECEII/~b <br />I I IIIIIIIIIIIII III <br /> APR 081987 1 O Enclosure <br /> MINED LAND <br />Permittee Name: RECLAMATION DIVISION <br />Permit No: Neil Sprague <br />Operation Name: M-85-211 <br />Anniversary Date: Berthoud Pink Quarry <br /> 04/29/87 <br />Please complete the following and return this form with your fees a d <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~( Check or <br />~ <br />~ money order payable to Colorado Mined Land Recl mation <br />T° <br />Di vi;;on fcr annual fF25 due <br />Annual Report <br />Remarks: ~, ~~ <br />0 ~ <br /> C:~ <br /> <br /> / ^ <br />f ~~ ~k' <br />~ -C/`~'~x 5 U /20 <br /> <br /> <br /> <br /> <br /> <br />~A/ v`~ A - ~ ~ O~t/]R~~ <br />~~~ <br />Signature 77CC <br /> <br />(Rev. 02/87) /~~ / <br />T//b( ~ <br />5257E <br />°h'l . <br /> r <br />~-~ <br />u <br />La ~, <br />_ l <br />(/ <br />~~ <br />