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~ ~ III IIIIIIIIIIIII III <br />RECEI M ~~0 Enclosure <br />Permittee Name: Mathias Concrete Inc. OCT 271989 <br />Permit No: M-80-201 MINED LANv <br />Operation Name: O'Bannon Pit RECLAMATION DIVISION <br />Anniversary Date: 10/23/89 <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br /> <br />--~G, i S ~G u ~ -~~-` ~~ ~ ~a S ~ S~ ~.,_ ~, ~ v ~ ~, <br /> <br /> <br /> <br /> <br /> <br /> <br />~ .~-~ <br />Signature <br />