Laserfiche WebLink
• iii iiiiiiiuiiu iii s <br />999 <br />' ~ 111/112 Enclosure <br />Permittee Name: <br />Permit No: Cary Boyce <br />Operation Name: M-85-085 <br />Anniversary Date: Rancho Rosado <br />04/17/87 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~_ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: <br />APR 221987 <br />MINED LAND <br />RECLAMATION DIVISION <br />MINED LAIVJ RECLAMATION DIVISION <br />1313 Sherman, Room 423 <br />Denier. Colorado 80203 <br />N°_' X08971 <br />DATE ~MQ__a~'IS J- <br />RECEIVED FRO~My - w `-' . <br />THE S7(~UM(`OF 14 V~R.C ~LI.I.HC(j~-(y ~-~-ril DOLLARS $ ~ J y. UG <br />FOR f~-I-- I~~-7 S -O~~ /7t7~~~i/7 ~ ~K <br />AMOUNT OF ACCOUNT.... ..$ <br />tiQh~ ~Ou~ <br />AMOUNT PAID ................ $ <br />BALANCE DUE ............... $ BV~ ~">~~.~'7D~Q <br />i <br /> <br />Signature <br />(Rev. 02/87) <br />5257E <br />~f'/ail ~ <br />~, ~ O <br />~(~ <br />