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IIIIIIIIIIIII III <br /> Permit No: 77-348 (Boettcher Limestone) <br /> Anniversary Date: October 10, 1984 <br /> Operator: <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: <br /> X Check or money order payable to Colorado Mined Land <br /> Reclamation Division for annual fees due (four quarried combined) <br /> X Annual Report <br /> X Map <br /> Remarks: <br /> RECEIVED <br /> Signature P. E. Thomsen <br /> Senior Mining Engineer OCT 0 " 1984 <br /> MINED UHo RECLAMATION DIVISION <br /> Colo. Dept,01 Worai Resources <br />