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~. <br /> <br />JU;I 1 ~ 1983 <br />Permit No: 82-11 HILLYER PIT <br />Anniversary Date: June 24 <br />Operator: <br /> <br />MINED LAND RECLAMATIDN <br />Cole. Dept. of P!atural Resa!~rc~~ <br />Please complete the fallowing and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />_ Reclamation Division for annual fees due <br />Annual Report <br />Remarks: ~HC Q,/~,~ ,9REa ,8 FFEcTEO / 5 S,AmE' <br /> <br />,Q ~Q F,a R S D r s i G.~u-rE~ o .~ o ~P i G I -.~w~ c. /~i/a P, <br />Signature <br />6 /~ ~/~3 <br />~~ ~~ ~ <br />~~~ <br />