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. ..~ <br />Permittee Name: Bachelor Silver Mines Company <br />Permit No: M-80-170 <br />Operation Name: Bachelor Mines <br />Anniversary Date: 03/25/89 <br />llnclosure <br />~- <br />~z"~ ~I <br />f„NR4~198g <br />,!f1A/ <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 />L" Annual Report <br />Remarks: 1'b~C"~ l~ ~ ~'1 ~~'I ~ ~CiC <br /> <br />e <br /> <br /> <br />v <br />/ c <br />C SiDna ure <br /> <br /> MINED LAND RECLAMATION DIVISION N O ~ ~ 9 8 7 7 <br /> 1313 Sherman <br />Denver, Colorado 80203 oarE 3 ~ °~~ is <br />(3/03) 866-3567 <br />RECEIVED n„ I J ~ $ c,'1 ,g,.l <br /> FROM- L-u~X --Xl vL.l <br /> OO <br /> ~ <br />• pOLLARS <br /> <br /> Zf39 ^5-6f1ECK <br />FORS ~.QD ~ ~ 6V ~~~C.' <br /> a <br /> AMOUNT OF A~COUNT...........$ <br /> ^1',^t I1 <br />AMOUNT PAID .... ...............$ ~ QII~ ~oul <br /> BALANCE DUE ........ ... .. $ P' <br /> <br /> <br />