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• iiiiiiiiiiiuiuiii • <br />110 Enclosure <br />Permittee Name: Southway Construction Company <br />Permit No: M-87-040 dPR ?;j i:~y~l <br />Operation Name: Costilla Pit <br />Anniversary Date: 05/21 /90 N'~iVE~ Lar:c, <br />Total : 550.00 (Due on the Anniversa~r,Fy~Fj'a~1~ATIQRi 11~~i~ <br />Please return this form with your completed Annual Report and a check or ld"~~ <br />money order for annual fees due, payable to the Colorado Mined Land Reclamat n ~D~ <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAC-REPORT: / ,f <br />/oX~n...~3~6 (~ ~d OHO Tw5 D~ ~,rz~~rtR~ <br />(/U ~~o~ ~~ts $ou~C6 't~ts t'45~ <br />(,J 145 {~6.,,.oUF_q _ ~~tcr <br />~ u S 6.d /4'~" <br />~ ,( / j% ~etbc U. ,1 T f3 /4•u9"~tRipK16C! <br />/ ! p ~u'tY r (III- ICJ rR I+.~ J V <br />V // ~G C'an, ~6 ~'~sa '~'o ~E- <br />4YI nl <br />6~~~ iM ~ ~ ~ ~2 <br />2 ~owr ~~ ~ ~~'is «. <br />~ ~ti y 6,~,~ 5 ~ sv ~ ~~6 Q ~N w, ~~ w~ a~~ ~~ad~~ <br />,GFa~e LL / A~,/r~~// <br />//J ~~ ~ Gc~~~~ fJ~ ~vu~~f'{'3'6q w~~4 `~ Fr <br />V ~UU 1tc~T~~aw. <br />// Z <br />',~ <br />.C <br />'gn ture <br />