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l <br /> III IIIIIIIIIIIIIIII • <br /> �� 110 Enclosure <br /> Permittee Name: Lance & _Barker Cje�I vie <br /> Permit No: M-77-417 1 �988 <br /> Operation Name: Sego Mine NOV <br /> Anniversary Date: 11/O1/88 RAMAT1OLAND V <br /> �CLL <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 /> ��PQ ✓ �'l ✓s , <br /> —DU e 12/c rG f/o n G 11- <br /> �2 ✓C;JUl°f10 -n w05 C'a ✓r1Pj C)C4 - uv�c�✓e�ukt0( <br /> of fIl P Se! ,o /0, v� P, o ulgs�P (-✓G 5 G!o L4 IPC/ <br /> d P ao'd /in addl-(tuna ( rJl s -(—Iurh4vrr P wQ5 <br /> C°✓ect�-e /, ko r ✓G <br /> U vt d e✓n- Le N 1 o l i/i 1�14✓� ���/ w�� k l� wi <br /> h� C)- 0 Z)iv✓'11411 na�u✓ P - w/tA eo / (0 cl%s-�c, rdon� e <br /> C'>,-fin P ✓ w11 -� a ✓Pcl . <br /> S gnature <br /> (Rev. 06/88) <br /> 0052f <br />