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~ ~ iii iiiiiiiiiiiii iii • <br />.. <br />111/112 Enclosure <br />Permittee Name: Albert Frei & Sons Inc <br />Permit No: M-77-526 <br />Operation Name: Worthing Pit <br />Anniversary Date: 03/28/87 <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 Reclamation <br />Division for annual fees due <br />Annual Report <br />~~ ,u~10~,~ C~~' q- ~Gl1Pr~ L~ICi-V~. <br />Map <br />Remarks: <br />Signature/ ~ AFL, Mpy 08~98j ~O <br />5257E 02/87) ~Mq ONE 3 <br />5 / n /~ 7 ,. ~O~ <br />n'n . /g , ~ ~!~ <br />U <br />~~ /~ t <br />