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110 Enclosure <br /> Permittee Name: Bachelor Silver Mines Company flIAR 22 <br /> Permit No: M-80-171 1989 <br /> Operation Name: Bachelor Syracuse Mn <br /> Anniversary Date: 03/25/89 Rf_CLAMATIOA! DI��gICI� <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check space(s) below) <br /> L Check or money order payable to Colorado Mined Land Reclamation <br /> Division for annual fees due <br /> C� Annual Report <br /> Remarks: /V/5r CJ17 �� 1r 130C `7elor— / e a e4r— <br /> 4,17 eienemu /7e C lea-7 4-1p, <br /> r <br /> Signature <br />