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1 <br />J <br />~ ~~ <br />Permit No: 77-522 , <br />/~~C~ <br />Anniversary Date: March <br />O <br />perator• <br />Please complete the following and return this form with your fees and reclama- <br />tion data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land Reclama- <br />0 Lion Division for annual fees due <br />Annual Report <br />Map <br />Remarks This pit was not operated during the year 1982 <br />i <br />i ~ <br />i <br />Signe , <br />~~~ <br />I:~CEIVED <br />~rpZ t 71`:c3 <br />nvNED LAND RECLAMATION <br />i.:LO DEFT OF NATL',.AL RESO:::CES <br />