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.~ ~ • • <br />~II ~II~II~I~~~~~~II <br />Permittee Name: Rocky West Mining Corporation <br />Operation Name: Poorman Mine <br />Permit No: M-- 82-58 <br />Anniversary Date: June ].4 <br />1988 <br />110 and 111 Attachment <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check bor:(es)) <br />ICI Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />~ Annual Report <br />Remarks• Notice of Intention to Continue Mining Operations is attached. <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1782 <br />David Mosch, Mining Engineer <br />~~~3H.~~ie' <br />I]]fl~~~ ~~u~%~ z7 ~9aa <br />;hIPl~C LATvD <br />I iEGLAPlIAT10~1 pIVISfON <br />