Laserfiche WebLink
• i <br />Permit No: 80-110 <br />Anniversary Date: September 9, 1980 <br />Operator: Henderson Development Co. <br />PZease complete the following and return this form with your fees and reclama- <br />tion data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land Reclama- <br />ti on Division for annual fees due <br />Annual Report <br />Map <br />Remarks <br />Signed, <br /> <br />