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110 and 111 Enclosure <br /> Permittee Name: Anschutz Uran Corp <br /> Permit No: M-77-451- <br /> Operation Name: IKE NO 1 MINE <br /> Anniversary Date: 02 / 15 / 86 <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 /> Division for annual fees due <br /> Annual Report <br /> Remarks• <br /> Signature <br />