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• - ~ iii iiiiiiiiiiiu iii <br />111/112 Enclosure <br /> <br /> <br />~, , <br />RECEBl~ED <br />Permittee Name: Jarra Co Inc <br />Permit No: M-81-228 DEC 1119236 <br />Operation Name: Gravel Plant No 3 MINED <br />Anniversary Date:ll / 13 / 86 LAND <br />RECLAMATION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~/ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Signature <br />~~ <br />~~~i <br />l~lli~lib <br />~~~~~, <br />~. <br />~., ~,. <br />