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r <br />•~~` ' - • <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />~II ~IIII~~I~I~~~ ~I~ <br />999 <br />• ~ ~ ~ ~ ~ ~l~•~ Enclosure <br />DEC 5 1989 <br />George Speer <br />M-83-176 MINED LAht7 <br />Speer Development RECLAMATIQN DIVISION <br />12/09/89 <br />Please return this form with your completed Annual Report, map, and a <br />check 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 />^~Y~~ <br />~~-~~~ <br />,.~ <br />Signature <br />