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<br /> <br />110 and 111 Enclosure <br />Federal Res Corp <br />M-80-170- <br />BACHELOR MINES <br /> <br />RE~E1"~~~ <br />03 / 25 / 86 APR 141986 <br />Please com l ete the fol l owi n and return this form with our{ ~ Fp N® ~i~~)..~~,iP,TI{%~ <br />P 9 Y C~~. O~~Of P~3::.'s?! N6SOEiECfic, <br />reclamation data. <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <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 />-~ <br /> <br /> <br /> <br />gnature <br />