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~; <br />r ~~~ ~~~~~~~~~~~~~~~~ <br />~~°,~~ <br />110 and 111 Enclosure <br />Permittee Name: Mr. John A. McNulty <br />Permit No: 80-3 ~, <br />Operation Name: ,a • ~v~, v aiNeFn o~~T <br />Anniversary Date: January 24 AP~~?)~~~ <br />Please complete the following and <br />reclamation data. <br />~ U i,'i <br />return this forvn'~~wi-thy'your' fees~~ and <br />_Enclosed_are_:_ _(Check space(sLbelow) ___ __ _ __ <br />!i~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~ Annual Report <br />Remarks: %9~i`- /o ~ y~;~ns i~'yv4- .s,~cN i~1£n.,c~,~-o ~/Tese, TsiE Per <br />.~RS'il ,~ N D ~.5~ Ya,ros G6 MLi F/ri of n'fMU u,CJ jRu.w 7~1F <br />S T'~ ~ r /~/ C i' d a G/ . <br />% DD n / ,fROS wlcC i.3G it6Nlr':•.ip /N /9f'S_ <br />/YO ,OiI fA /fA9 DA,~N /2E'[L.r+.w,FO /N / y0 f <br />New Aov/r.csr. ,/~ii,v A. /t/t~ N U[ i Y <br />7 7'!'7 / 6 U i~ 0 <br />C/J/PLTo.vO/~.f , Cut_un7Qp U <br />8/L 1,7 <br />.- /~~~ ~ <br />Signat <br />