Laserfiche WebLink
• ~ - ~ iii iiiiiiiiniii iii <br />Permit No: 79-206 <br />Anniversary Date: June 17 <br />Operator: <br />Please complete the following and return this form with your fees and reclama- <br />tion data. <br />Enclosed are: (Check Box(es)) <br />Check or money order payaBle to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />Annual Report <br />Map <br />Remarks TNi RNNU/~L /~-~,QT ~ilJd M.4P Gfl/LL gF SEhJT <br />_ W ~ rN ~ n/ ~o AA ys . <br />signed, <br />P. 0. Box 1037 • SALIDA, COIOFiADO 81201 <br /> <br />