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' 999 <br /> 1111112 Enclosure <br /> Permittee Name: marathon Gold Corporation <br /> Permit No: M-83-052 <br /> Operation Name: Joker Mine & Pilot ,71, <br /> Anniversary Date:September 1, 1987 <br /> NOV IN 1987 <br /> Please complete the following and return this form with your fees and <br /> reclamation data, t:' M1• dC.' <br /> Enclosed are: (Check space(s) below) <br /> X Check or money order payable to Colorado Mined Land Reclamation <br /> Division for annual fees due <br /> Annual Report <br /> Map <br /> Remarks: Annual Report and Map to be submitted at a later date. <br /> MINED LAND RECLAMATION DIVISION _ NO 007157 <br /> 1313 Sherman, Room 423 <br /> Denver, Colorado 80103 DATE A)M) w is & 7 <br /> (3(�03) 866-3567 <br /> — RECEIVED FROM 1fRD.11 f9A1 IR'Uii� �+C7CLY ,�qq <br /> THE SUM OF / of DOLLARS $ D e/o <br /> It ❑3 CCA9 <br /> FOR—yy� 'Cl /�/- Z53-5Q 7r)1 /n 10. <br /> AMOUNT OF ACCOUNT......$ <br /> — AMOUNT PAID................$BALANCE DUE...............$ BY <br /> Fc-1 <br /> Signatu <br /> (Rev. 02/87) y <br /> 5257E Ci1U, <br />