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110 and 111 Enclosure <br /> Permittee Name: Federal Res Corp <br /> Permit No: M-80-171- <br /> Operation Name: Bachelor Mines <br /> Anniversary Date: 03 / 25 / 85 <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check space(s) below) <br /> XCheck or money order payable to Colorado Mined Land Reclamation <br /> Division for annual fees due <br /> XAnnual Report <br /> Remarks: <br /> MINED LAND RECLAMATION DIV14"N N 0 3269 <br /> 1313 Sherman Street Room 423, u <br /> Denver, CO 80203 DATE 3 2 I Is <br /> (303) 866-3567 <br /> RECEIVEO FROM Seae:22 '��"`" WOAQZ0 <br /> FIO <br /> THE SUM OF Q11.0 � ^�� 120OOLLARS $ 1��• n <br /> p ❑CCJA� <br /> I O 2 <br /> 7 / , u EGK <br /> / <br /> _ FOR �'� "n'o <br /> AMOUNT OF ACCOUNT......$ n�I ^NU�lk C Oul <br /> AMOUNT PAIO................$ `U/ <br /> BALANCE OUE..O...... ....$ BY - <br /> Signature <br />