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• . _ . • iii iiiiiiiiiiiu iii <br />999 <br />110 Enclosure <br />Permittee Name: Larry L. Chartier <br />Permit No: M-84-040 <br />Operation Name: Chartier Pit <br />Anniversary Date: 07/19/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order pdyable to Colorado Mined Land Reclamation <br />- - U-ivision for annual-"fees due --- _ - --- - " -- <br />// Annual Report <br />vr~r~ m. <br />i of <br />Signature <br />(Rev. 06/88) <br />0052f <br />Remarks: --I-n ~ ~C~e~ I `,- has-n'z.~ ~n/9-- -~-~-.w~ ~~...,~.~ <br />