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C~ <br />Permit No: SO-170 <br />Anniversary Date: <br />Operator: <br /> <br /> <br /> <br />Mr ~~ 2 °~ 198z <br />CG!0 )d9`. L: ,`''3t'Y?i F'd50 ~'f~?5 <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 Colorado Mined Land <br />Reclamation Division for annual fees due <br />~i~(~2 <br />Notice of Intent to Continue Mining Operations <br />U ~ •~ r~ <br />Remarks <br />DATE DESCNIPP^`~ WVO/Cf 11D. M101M~ DISCOUNT DEDUC710N5 NET AMOUNT <br /> Annual fees <br /> Bachelor -Syracuse 80-170 50.00 <br /> ~'°' `' <br /> <br /> ': ' 2 1;,8 <br /> <br /> ,.,._, . <br /> N0. q~ - ^~~. ~a.. :.tl_.. F ., _._cs <br /> ~' E n o , <br />C ~ ~;, <br />0 <br /> <br />RECEIVED FROMs - `~ .. ,.o ~^a '~` <br />so.co <br />Nq' DOLLARS <br />Account Total ~ <br />Amount Paid $ C 1~~{S S ~ <br />Balance Due <br />March 25 <br />'Qa CAity .~ <br />'SHE EFF1LiENCri~INP PN AMMO GEIDIXICT <br />