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~ ^ . <br /> <br />112 Attachment <br />Permittee Name: Morgan Sand & Gravel Co. <br />Operation Name: <br />Permit No: 77-94 <br />Anniversary Date: December 20 <br />Operator: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />~-~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />I_I Annual Report <br /> <br />~-~ Map <br />Remarks: <br />Signature <br /> <br />(Rev. 5/84) <br />Doc. No. 1805 <br />