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~II II~~I~~I~~~~~ ~I~ <br />sss <br />~I <br />111/112 Enclosure <br />Permittee Name: Gary Boyce <br />Permit No: M-85-085 <br />Operation Name: Rancho Rosado <br />Anniversary Date: 04/17/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~_ he or money order payable to Colorado-Mined Land Reclamation <br />Division for annual fees due <br />~(_ Annual Report <br />/` Map <br />Remarks: <br />.~- <br />Si ature <br />7358G <br />0054f <br />