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<br /> <br />REC =1Y~G~1/112 Enclosure <br />Permittee Name: Goodell Brothers Inc APR Q G ~88T <br />Permit No: M-77-522 1111NEQt.. <br />Operation Name: Herman Feit Pit REG'LAMATIpNL'+v1~:~N <br />Anniversary Date: 03/23/87 <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 Reclam:!tion <br />Division for annual fees due <br />~_ Annual Report <br />Map Sa~:.e as the one submitted last year <br />Remarks: <br />G <br />Signatur <br />(Rev. 02187) <br />5257E <br />y_~~~g~ <br />~_~.~i <br />~~ I <br />