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sss <br /> 110 and III Attachment <br /> Permittee Name: tin i n Y <br /> Operation Name: SHAFFERS GROSSING <br /> Permit No: 78-208 <br /> Anniversary Date: June 16 <br /> Operator: <br /> i <br /> Please complete the fallowing and return this form with your fees and <br /> reclamation 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 /> Annual Report <br /> Remarks: .41- 4 4,eg r7,'Zz ?%4y Tjgmz 4,T ak4l; l pLd✓ AVL6 � <br /> �6_S /i�.0 1V4L d d- <br /> CZ A1d os�d;&t " 7-//R BFc i i w t. A117 &dK,9&Ae d <br /> Al *.,o E,C7%fS IMC, <br /> RECEIVED <br /> Sign at a JUN 7 15 64 <br /> (Rev. 5/84) 06,1-7/8' � MINED <br /> LDajLAMATIONDVIS1ON <br /> Doc. No. 1782 � pN r <br /> �;re- <br />