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~F <br />• • • i III IIIIIIIIIIIIIIII <br />999 <br />. 110 Enclosure <br />Permittee Name: Dilleys Sand & Gravel <br />Permit No: M-86-105 <br />Operation Name: Vondy Pit <br />Anniversary Date: 08/29/88 <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 payable to-Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: <br /> <br />G~ , <br />i ~ D <br />S gnature <br />(Rev. o6/sa) AUG 101988 <br />OO52f MINED LAND <br />RECLAMATION DIV1910N <br />