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• • IIIIIIIIIIIIIIIIIII <br />RECEIVED 110 Enclosure <br />Permittee Name: Indian Springs Mng MAY 2 g 1987 <br />Permit No: M-81-020 <br />Operation Name: Thorsen Mine MINEDLANC) <br />Anniversary Date: 05/06/87 RECLAMATION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Di visio„ for annual fees due <br />Annual Report <br />Remarks: <br />(Rev. 02/87) <br />5257E <br />1S ~ ~t~~ ~ <br />~,i ~ e J.f l C <br />~~ '~~5~' <br />~'/~ <br />