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<br /> <br />110 and 111 Enclosure <br />Permittee Name: Federal Res Corp <br />Permit No: M-80-170- <br />Operation Name: Bachelor Mines <br />Anniversary Date: 03 / 25 / 85 <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 />Q3-S5-BS <br />@3-15-as <br />i~ <br /> <br />gCCOUNT # AMOUNT DISC N <br />45@@. 1138- <br />45@@.113a v@. @@ <br />s@.@@ @. @@ <br />@.@@ 5@. Q <br />s@. <br />Rrinua7 Fees -- N.hed <br />qn. Fees - SyT•ac~is <br />/~ <br />,~ ~ ~ <br />.n <br />Y: <br />~ '. ~. <br /> <br />Signature <br />