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<br />Permittee Name: Ho11y Sugar Corp <br />M-77-304 <br /> <br />111/112 Enclosure <br />-~ -G;.i:--- -.-,-.~ <br />Permit No: Rex Quarry -Sec 36 APP, 7 1988 <br />_= Operation Name: 03/01/88 <br />_ , Anniversary Date: ;U:;i,•._*~ : , <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />'- Division for annual fees due <br />x Annual Report <br />x Map <br />Remarks: Enclosed please find our check #066391 dated 3/31/88 in the amount <br />of X400.00. 5350.00 is to cover the annual fee payment for the year 1988 as , <br />indicated on the check stub. <br />(Rev. 02/87) <br />5257E <br />