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J ~ • <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Cotter Corporation <br />M-77-306 <br />Jd-9 Mine <br />09/30/88 <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 /> MINED LAND RECLAMATION DIVISION N 0 0 0 8 7 7 3 <br /> 1313 Sherman <br />Denver, Colorado 80203 DATE ( Z ~8~~ <br /> (303) 866-3567 $ <br />RECENEO '~S <br />~ <br /> FROM <br />w`~~ <br />u <br /> _! <br />( <br />51'w 72-n ~J ~ O 4! ~~~OLLARS <br />l-f~ 7 l.~-i/l'I ~~ <br /> 11 -7 ^ CASH <br />K <br />~ <br />7 <br />3(7 ~ <br />l <br />7 <br />4~ <br />L <br /> - / <br />- <br />n <br />l <br />d 4 <br />c ~ <br />M.0. <br />FOR ((//I/r1 11- <br /> AMOUM OF ACCOUNT... ...... $ <br />I_ ~ I_ O~ I <br />n I(/ <br /> ~ <br />AMOUNT PAID ... ...............$ <br /> ^ <br />BALANCE DUE .. ...... ...... .$ BY ,J ~)~ . <br />Signature <br />(06/88) <br />0054f <br />