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112 Enclosure <br /> Permittee Name: Ideal Basic Ind Inc . L <br /> Permit No: M-77-348 OCT 141987 <br /> Operation Name: Boettcher Limestone Quarry <br /> Anniversary Date: 10 / 10 / 97 MINED LAND <br /> REC1_AMAT±ON DIVISION <br /> Please complete the following and return this farm with your fees and <br /> reclamation data. <br /> Enclosed are: (Cheek space(s) below) <br /> Cheek or money order payable co Coloraao :Mined Land Reclamation <br /> Division for annual fees due <br /> $350.00 <br /> Annual ,Report <br /> x _ Map <br /> Remarks : <br /> 6� C . <br /> Signature <br />