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112 Enclosure <br /> Permittee Name: Albert Frei & Sons <br /> Permit No: M-79-165- <br /> Operation Name: FREI PIT NO 3 <br /> Anniversary Date: 10 / 25 / 85 <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 /> Remarks: <br /> Signatu e <br /> a <br />