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<br />a <br />' ~ III III III IIIIIIIIII <br />yya <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Southway Construction Company <br />M-84-025 <br />Stage Stop Pit <br />07/26/88 <br />Please complete the following and return this form with your fees <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />/'~ Check or money order payable to Colorado Mined Land <br />Division for anrwaa #ees due <br /> <br />Remarks: <br />Annual Report <br />110 Enclosure <br />~mation <br /> <br />V N~Gv~iv/ ~YD+u~ GCE 6 /SlY~sL .S~OCk ~ s <br /> <br /> <br /> <br />;~~ . ~ <br />tau c s ~saa <br />MIN. D L?,N'~ <br />C~ECLAMA 10+@ i?IV~s•ON <br />