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1 <br /> • • <br /> 110 and 111 Enclosure <br /> Permittee Name: Kybato Inc <br /> Permit No: M-77-468- <br /> Operation Name: LAST CHANCE MINE <br /> Anniversary Date: 06 / 16 / 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 /> Remarks: <br /> t <br /> OCT 181885 <br /> Si nature ' <br /> MINED LAND RECLAMATION <br /> Colo. Dept. of Natural Resources <br />