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<br />iii iiiiiiiiiiiiiiii • <br />112 Enclosure <br />`~" ~ .k." ,, ^~ t <br />'~::~~'~~'~u <br />Permittee Name: T M Russell & R C Barger <br />Permit No: M-80-037HR ~ 0C~,2 s ~p~,5 <br />Operation Name: Ingleside Quarry <br />Anniversary Date: 10 / O1 / 86 ~,<~~r_~ ~ :{Ys3 <br />RECI grtn,~,T~01~! Dtt~lS!C°~! <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 />Map <br />Remarks : ~^/lr~,~y. c~(~-2rcti t ~`o v~. ~ vi ~ I q 8~5 - 8' ~ rev : oc~. . <br />~~n R. C~.~6S2~ \(l YV\cS hi~g. ~n \v~'-F~M[~ Tn C^mv~Y~rt~P <br />r+c~.Plr 0.T ~ om. C ~ ~n v\ o_rt y' u,~t 1 f.Y P- <br />gna <br />~o~~Y~~ <br />~~ <br />~~~ <br />~- <br />