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<br />'~""-•sss----- ~~D 110 Enclosure <br />Permittee Name: Dave Direzza ECE~ <br />Permit No: M-84-028 R N ~ 2 1981 <br />Operation Name: Direzza Pit ~U <br />Anniversary Date: 05/01 /87 NIINEp 1ApD 1$ION <br />REC--p`MA?ION <br />Please complete the following and return this form with your fees a d <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~y_ nCheck or money order payable to Colorado Mined Land Reclamation <br />D.~757Gn fvr uiniuai fees dUC <br />_~ Annual Report <br />Remarks: ern ~ ~-rGe~«tc~ 'f a [-ev~~. <br />~_ <br />c.+i c;• <br />MINED !D RECLAMATION DIVISION ~ ~ ~ 6119 <br />_ Isla Sherman, Room 423 <br />Denver, Colorado 80]03 <br />_ (303) 86nn6-3567 ( DATE ~~'~I- 7nn '^ 'ISM <br />RECEIVED FROM ~ ~ 1C-~~.nC\ ~Q,~ ~ CQ,~-C P <br />THE SUM OF JO DOLLARS $ ~ U ~ / V <br />^ f:451 <br />FOR \~7VI\ V-CY /~1 7[ l-~O 17-5 ~rnpC <br />a- AMOUNT OF ACCOUNT......$ fnN~ ~oul <br />i AMOUNT PAID ................ $ ~I `-c~ <br />~~ BALANCE DUE ............... $ BV <br />(Rev. 02/87) <br />5257E <br />/~ <br />~' ~~ <br />~Q <br />