Laserfiche WebLink
. • ~ • III IIIIIIIIIIIIIIII <br />_ 110 Enclosure <br />Permittee Name: Hendricks Mining Company <br />Permit No: td-77-410 <br />Operation Name: Cross Mine <br />Anniversary Date: 11/03/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: See attached sheet. <br />31988 <br />SAND <br />D <br />gnature <br />