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<br />110 Enclosure <br />~ - ' R~C~~~E® <br />Permittee Name: Richard D Mott <br />Permit No: M-80-049 FEB 111991 <br />Operation Name: Mott Gravel Pit <br />Anniversary Date: 02/18/87 MINED LAND <br />RECLAMATION DIViSIOR <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br /> <br /> <br />Remarks: <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br /> <br /> <br />i ~7 <br />//I/o ~~ a ~ p ~i.e~ <br />~i <br />~~i/if~IN~-~..L C/L ~~ ~.-,nn ~vt w -~ ~ /~ p ~ ~ - <br /> <br />Signature <br />.5-So O <br />_ ~~~~~ <br />MINED LA~.e RECLAMATION DIVISION N~ `0 0 8 6 0 2 <br />1313 Sherman, Room 423 <br />Denver, Colorado 80203 DgrE ~ - / C <br />Id031 866-3567 is <br />RECEIVED FROM <br />THE SUM OF ^ <br />DOLLARS $ vO. 6a <br />FOR ~ ~. /^~~ ~~~ <br />~T~(J I ~~ ~IiECK <br />r/ ~MO <br />AMOUNT OF gCCOUNT...... $ <br />AMOUNT PAID ................ $ `-' tiun~ ~oUl <br />BALANCE DUE ............... $ BY <br />,~Q <br />