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• III IIIIIIIIIIIII III • <br />999 <br />110 Enclosure <br />RECE11/E® <br />Permittee Name: ' <br />Permit No: Jlmerican Materials Inc NQV 21987 <br />Operation Name 79-192 <br />Anniversary Dai~otted Burro Pit MINED LAND <br />10/14/87 RECLAMATION DIVISION <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 />-- ~s.~. <br />/c Ta HA,C~-T (~./O.no.~/s .uy ,ct„/„tee; .ua~` <br /> <br />n./i„i,.s q ., <br /> MINED LAND RECLAMATION DIVISION N~ 0 0 7 0 9 3 <br /> 1313 Sherman, Room 423 <br /> ~~~) <br />Denver, Colorado 80203 DATE `lS~'! fl- ~9 <br /> 86 <br />6 <br />- <br />3 <br />567 <br />) <br />(3~03 <br /> ~ <br />M <br />, <br />r <br />1 <br />^ <br />RECEIVED FROM ~'' r~~~~l ~ ~ ~ '~ <br /> /~ <br />OD <br /> Q~'~ DOLLARS $ - /~~ <br />THE SUM OF .+. <br /> o~e~. <br /> ~'o`~ <br />ivk Y <br />.r <br />~ <br />~ f~ - 79 - l 4 z <br /> , <br />, <br />, <br />FOR <br /> <br /> (~ <br />AMOUNT OF ACCOUNT...... $ J ~ax~ ~uI <br />~l <br /> fG <br />AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ BY <br />,~~ <br />