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112 Attachment <br /> Permittee Name: Ideal Basic <br /> Operation Name: Boettcher Limestone Quarry <br /> Permit No: 77-348 <br /> Anniversary Date: October 10, 1985 <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are : (Check box(es) ) <br /> 1 1 Check or money order payable to Colorado Mined Land <br /> Reclamation Division for annual fees due <br /> $350.00 <br /> � X Annual Report <br /> ijj Map <br /> Remarks: <br /> RECEIVED <br /> Signature <br /> OCt, 91995 <br /> (Rev. 5/84) mwdl)LAND <br /> Doc. No. 1805 RECLAMATION DWION <br />