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• iii iiiiiiiiiiiu iii • <br />999 <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />Permittee Name: Williams Fork Company <br />Permit No: M-84-i6B <br />Operation Name: Williams Fork Pit <br />Anniversary Date: 10/25/90 <br />Total: 5350.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report, map, and a check <br />or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />Attached as Williams Fork Company Letter <br />(October 22, 1990) <br />Enclosed are: (Check space(s) below) <br />X Copy of check payable to Colorado Mined Land <br />Reclamation Division for annual fees due: #047302 <br />(mailed 9/10/90, received by Division 9/13/90) <br />X Annual Report: (as above) <br />X Map: Attached Exhibit C (Revised ]0!23190) <br />Signature / <br /> <br />