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Ilo <br />~}-~ Attachment <br />Permittee Name: Ideal Basic <br />Operation Name: Boettcher Sandstone Quarry <br />Permit No: 77-345 <br />Anniversary Date: October 10, 1985 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />I R I Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />$50.00 <br />I~-I Annual Report <br />I x I Map <br />Remarks: <br /> <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br />RECEI`V~ <br />OCT • 91895 <br />MIMEO Wr0 <br />HEG.AMATION gW810N <br />