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i <br />i <br />~' ~ • <br />III'11111111IIII III <br />Permittee Name: Dave Direzza <br />Permit No: M-84-028- <br />Operation Name: DIREZZA PIT <br />Anniversary Date: 05 / O1 / 86 <br />• <br /> <br />110 and 1111 Enclosure <br />~~ <br />Please complete the following and return this form with ydll~"fe2S-~3 <br />reclamation data. ~,nlu 1.?C.al• <br />F"J tom, ~i' <br />2 71986 <br />~.:V t,re tNf~'SI ll it~ <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Recl ation <br />Division for annual fees due <br />Annual Report <br />Remarks: <br />MINED LAN. ECLAMATION DIVISION <br />1313 Sherman Street Room 423 - __ <br />Denver, CO 80203 <br />(303) 866-3567 <br />RECEIVED FROM <br />THE SUM OF~~~~ ...~..ff~ <br />FOR t~Q ~~ I ~~ <br />AMOUNT OF ACCOUNT...... $ <br />AMOUNT PAID ................ $ <br />BALANCE OUE ............... $ <br />SY <br />((yyN~~ ~~°_ 0~~0~~ 5 8 6q5 <br />DATE J~.~.pL_L99 O <br />$ <br />~oul <br />la~l~ <br />~Yri- <br />