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AUG 2 31985 <br />77-436 MINED LAND <br />Permit No: RECLAMATION DIVISION <br />Anniversary Date: August 23, 1978 <br />Operator: <br />Piease compiete the following and return this form with your fees ana <br />reclamation oat a. <br />Enclosed are: (Check box(es)) <br />R Check or money order payable to Colorado I~lined Land <br />Reclamation Division for annual fees due <br />x Annual Report <br />- ~~~~~~ ; <br />x ~\jap <br />auc a ~ 19a~ <br />MINED L4ND <br />RECLAMATION DIVISIOI`a <br />Remarks Refer to attached annual report. <br />,/. <br />Sig <br />