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<br />• w <br />110 Enclosure <br />Permittee Name: Mitchell Concrete 8 Caisson Dr <br />Permit No: M-86-025 <br />Operation Name: Mitchell Mine No. 1 <br />Anniversary Date: 03/19/88 <br />Please complete 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 lu¢ _Off.6L~P_a~i i^~ 2~ i-z5 .-z`o' ~cJ -G<y <br />Remarks <br />Signature <br />(Rev. 02/87) <br />5257E <br />f...r do ,> -. ~' '. •; ,.. °::.' <br />(,iAR " ~ 1938 <br />Ib`:. hf ~:Ll ~: ~.i41 <br />