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<br />112 Enclosure <br />Permittee Name: Albert Frei lr Sons, Inc. R E D E ~~ E D <br />Permit No: M-77-526 ~~N 241987 <br />Operation Name: Worthing Pit <br />Anniversary Date: 03 / 28 / 87 MINED LAND <br />RECLAMATION DIVISION <br />Please complete the following and return this form with your fees <br />and reclamation data. <br />Enclosed are: Check space(s) below <br />Check or money order payable to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />~~ Annual Report <br />~{~ Map <br />Remarks: Annual fee was submitted under separate cover 5/6/87. <br /> <br />Signature Albert R. Frei, President <br />