Laserfiche WebLink
Permit No: 77-468 <br /> Anniversary Date: June 16 <br /> Operator: <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check box(es) ) <br /> Check or money order payable to Coloraoo Mined Land <br /> .i,1 Reclamation Division for annual fees due <br /> Annual Report <br /> Remarks: <br /> ."0�-Z <br /> Sigrretur <br />