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<br /> <br />112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Flatiron Mtls Co <br />M-79-097- <br />EAST RIGDEN PIT <br />08/13/85 <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 />t/ Annual Report <br />~~ Map <br />Remarks: <br />f~E~:i~~`~~1) <br />SEP 61985 <br />ivtiNED LAND <br />RECLAMATION DIVISION <br />ignature <br />