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f • III IIIIIIIII IIII III • <br />999 <br />~~~~~~~® 110 Enclosure <br />Perini ttee Name: Ina C. Pope S ~ P 13 1988 <br />Permit No: td-86-101 <br />Operation Name: Pope Pit No 2 MINED LAM D <br />Anni versary Date: 09/12/88 DECLAMATION DIVISION <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 <br />Remarks: ~Q~ La:.a Drs~..~>',~1 nD~..,.[o,J ~nOD~/.-.~fO. ~J L..d .U..rO1. J"rYn .. <br />C/trP.si /kt56ce.i /ow«e~' ~h,.~~ Sd~ flu3yBer• <br />I f~~ ~,:_,! ~. ~o ~P~,_1.0.+ ~__...: loo ._~,::~ ~o~.~_ ~J ~~.._,. T~~ <br />~Bavcs Z,3 co~.~~ ~1:.~ fan~oil .3~~,~~,le ~~~nsso. <br />Gloms ao~ ~re.~ b~..., de r!Q fed y o .^a~/~.... w f-,~ Rio s 6vo.. ~o,, e <br />Signature <br />(Rev. 06/88) <br />0052f <br />