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_ ~ ~ III IIIIIIIIIIIIIIII <br />. ~~ <br />Permit No: 80-52 <br />Anniversary Date: April 23 <br />Operator: <br />Please complete the following and return this form with your fees and reclamation <br />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 v I Annual Report <br />signed, <br />i <br />'d~~~:~9V~~ <br />APR 18 1983 <br />MINED LAND RECLAMATION <br />Colo. Dept. of Natural Reso~!rces <br />