Laserfiche WebLink
., <br />Permit No: 81-36 <br />Anniversary Date: April 23 <br />Operator: Mr. Ralph Carestia <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to the Colorado Mined Land <br />Reclamation Division for annual fees due <br />~ Annual Report <br />Remarks: ,lY~c~ p . ~,i, I~ :~°:~- <br />