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<br />i <br /> <br />999 <br />110 and 11 Enclosure <br />Permittee Name: James A Willey <br />Permit No: M-84-108- ~~'~k , <br />Operation Name: OLATHE PIT j~~,'•`j~~ <br />Anniversary Date: 12 / 14 / 85 <br />MiyF JAN z `~ 1986 <br />Cqy~ <br />Please complete the following and return this form with your fees p/ ~~`y~ <br />reclamation data. kp/.;r,~/~~AT/~j,~ <br />s~~sr~Q~ <br />Enclosed are: (Check space(s) below) <br />>~ Check or money order payable to Colorado Mined Land Rec amation <br />Division for annual fees due <br />~/ Annual Report <br />Remarks: <br /> <br />` ~QB~. <br /> <br /> <br /> <br />~~~ <br /> <br /> <br />(~ ~ Y,ls-6 ?~,,~, <br />G~ti~ aYy. ~' ~"e <br />ignat of <br />