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-~ : ; <br /> <br />.~ <br />III IIIIIIIIIIIIIIII <br />sss <br />Permittee Name: Gold Hill Minino Comoanv <br />Operation.Name: CASH MINE <br />Permit No: 83-141 <br />Anniversary Date:SPntemhar 7 <br />M ~~ <br />110 and 111 Atta hrr dent <br />RECEIVED <br />OCT 2? 1984 <br />PAINED l~yp RF~LAMAiION OIVI~IOP! <br />fato. OeAi of P~atoral nr~ <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 />~°=' Annual Report <br />Remarks:'~~ r14.~~ C.orr~PC~e-{-ems -t1,~5t.u2~tce C2rx1la11c1e~QD~er>~ <br />Reho~ErL:~a_i-:Q/1 0~ -1~ ~a-SS'1 "a~::l~ -{t~'1flEr i~1:(e~9 t.~s-cL., <br />iK~-i~~i:3~ <br />~rn~ ~: ,~':~, <br />Signature <br />rt~.`Y +~3a7[Lt F~i.~l2ik'lt~'~'1L- 1.;.~[,.~^ (-/~QIZ . u~~?'~1Ci~~ <br />Cpn~Sit-a,.~.~ -~ n~~~a. c,..P 4sld R~tl~ca]~ -{F~ ~-;2~Sk1 ti:"~d <br />.. <br />~.:~ ' ~~ t,~L7'~ E'ia.lL--:~.2 G~;.~r~~:o+'1:, ^ ~ sa~a_c_ .:~:.~ <br />?~cc.:+i~k....~.n c" o ~ ~Q~_.:~t- ~:~.:~ ~..~ ,~~ . (lex~ eszsZ <br />:,a.~ c_._?:.JL_= .~ ~~~~- {ZLC.~IC ~~2~=-+ `kti `I"~lE c~tc LiL~~ ~-.: ~~c'1,">~ ~ <br />.- <br />~P~::il IrGC4~c~trc:.'las: -Y'Y~ ~.:9n --~Sl:, il..f.:*'1~. <br />4~ -i <br />(Rev. 5/84) <br />Doc. No. 1782 <br />