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~~ • III IIIIIIIIIIIIIIII • <br />111/112 Enclosure <br />Permittee Name: Caldwell Brothers <br />Permit No: M-86-016 <br />Operation Name: Caldwell Brothers 3 <br />Anniversary Date: 06/01/88 <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 />V Map <br />Remarks <br />J UL 211988 <br />Signature <br />MINED LAND <br />CiECLAMATI(?P: DIVISION <br />(Rev. 02/88) <br />5257E <br />0054f <br />