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• <br />;::. . <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />III IIIIIIIIIIIIIIII <br />David Bacon & Glenn Southwick <br />td-86-007 <br />Masonville Stone <br />03/11/90 <br />110 Enclosure <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />C~~~-- l ~(/~ /cam' C' -~~,~~ ~c~ ~uC~ ~ ~~~`~ <br />C /~ <br />GJ ~ c~~ti~~~=~~~ <br />~ti~ ~-~~ ~ ~ ~~ Z , <br />N <br />S' nature <br />-~ <br />