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C I~ <br />~r3 <br />Permit No: 77-213 SAND PIT <br />Anniversary Date: May 27 <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />R Check or money order payable to Colorado f4ined Land $350.00 <br />_ Reclamation Division for annual fees due <br />% Annual Report <br />_ Map <br />Remarks; 1983 Annual Report is submitted herewith. <br />CASTLE CONCRETE COPIPANY <br />A Colorado Corporation <br />Signature C. Batley, Presi nt <br />P O Box 2379 <br />Colorado Springs, CO 80901 <br />(303) 598-0215 <br />