Laserfiche WebLink
<br />N M <br />Permit No: 80-249 <br />Anniversary Date: February 4 <br />Operator: <br />III IIIIIIIIIIIII III <br />999 <br />Please complete the following and return this form with your fees and reclamation <br />data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />G~ Reclamation Division for annual fees dae <br />Annual Report <br />Signed, <br />~~~`2~ ~~~ ~`~~~ L <br />Va r"`~ <br />2 D~~ o~ <br />H 9~~6.r~~~® <br />FEB 1 S 1S82 <br />MINED LAND RECLAi~ATIDN <br />Colo. Dept. of Alatural Resoarce~ <br /> <br />