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1111112 Enclosure <br /> Permittee Name: RECEIVED <br /> Permit No: Sunnyside Gold Corporation <br /> Operation Name: M-77-378 <br /> Anniversary Date: Sunnysi de Mine APR 24 1987 <br /> 04/23/87 MINED LAND <br /> Please complete the following and return this form with your FfeesAanITIDN DIVISION <br /> reclamation data. <br /> Enclosed are: (Check space(s) below) <br /> �- -- Check or money order payable to Colorado Mined Land Reclamation <br /> v i vi s i on, fvr annual fees due <br /> Annual Report <br /> Map <br /> Remarks: 1 / <br /> Signature <br /> (Rev. 02/87) <br /> 5257F <br />