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,�aLspv�G� 112 Enclosure <br /> Permittee Name: Union Carbide-metalsPermit No: <br /> Operation Name: MAYBELLL6 G NA <br /> Operation <br /> Anniversary Date: 07 / 02 / 85 o2��s�'' Q5 <br /> a 7 <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check space(s) below) <br /> X Check or money order payable to Colorado Mined Land Reclamation <br /> Division for annual fees due <br /> Annual Report <br /> Map <br /> Remarks: The Annual Rppnrt and map are under preparation and should <br /> he in the Division' s hands by September 30, 1985. <br /> Signat <br />