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'~ <br />~II IIIII~II~I~~~ II~ ' <br />111/112 Enclosure <br />Miller-Berends Co <br />Permittee Name: M-82-112 <br />Permit No: Miller Gravel Pit <br />Operation Name: 03/11/88 ~~_ <br />Anniversary Date: <br />r,~.-.;: <br />" - ~~-- <br />Please complete the following and return this form wit~„yQUr'~fees and <br />reclamation data. ~ G41....,. . <br />U' <br />~ y <br />Enclosed are: (Check space(s) below) <br />1/ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due ~ ~ ~ ~ ~~ <br />r/ Annual Report 61AR 1 C 1988 <br />Y Map «ECLAMATION DIOVIStON <br />Remarks: ~ ~ /„ ,rn ~~ ,~/rD ~„r eel- ~ 2. /~~7 <br />St'gnature <br />(Rev. 02/87) <br />5257E <br />