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Mining and Safety <br /> • �iC _:f*."ti2:1: '1{,"v8?Li"%si r'Cii_, ..,_ <br /> 1313 She:man St.Room,21 <br /> August 1, 2016 <br /> Marilyn Anderson <br /> 42 Mining Company Ltd <br /> 300 E. Col,lmerec Street <br /> Ruby Trust Mine,Permit M-1979-181,Annual Fee Invoice and Report Request <br /> PleaSe attach your CO-1-VIPl E'A ED Written Annual Re ort anc3 Annual Report 't1ap to this form <br /> 1 f—t ,m "u:" ti K µ+;v., :�a.Il;' „i i - ,�,;,:a— :t' '-T-� ' "'u '? 1�T '-', n, t:u <br /> "�.. . <br /> ss� �. ... ,..� .,. .... w,. , :;,;d <br /> Annual Report (including a map). You must pay the Annual Fee and submit an Annual Report each year <br /> until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report <br /> are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was <br /> inactive. <br /> The Annual Report and Fee requirement will be considered submitted when we have received the <br /> following components: <br /> 1. APPROPRIATE ANNUAL FEE <br /> 2. COMPLETED ANNUAL REPORT <br /> 3. ASSOCIATED Mct)P as reruireu by rule <br /> :E tiI t : 1l _i ! 1VG iC�CCstea ICCG`,C �I3tt } :C iJ:Villt t=l 1)t Kr-,.C.. ;Intl 01 . 1-'l Ini3 _ [Shut <br /> Safety(the"Division-)but}our permit is not released by the anniversan,date listed below,the Annual Fee <br /> NI-I I&hP naid, if the nermit ig ralPaC?n 1%,-fnrP tljP aT 'vi rcpn'-date.than 4zi Ctahlt.�, it j-c not nt_c?s are;to <br /> 1. <br /> pay an Annual Fee or submit an Annual Report for that year. <br /> Division records indicate the$259.00 fee is due for the following: <br /> Permit: ivi-1 9/ 18 i <br /> Op "at.on Name: Ruby T <br /> Hil[?i�"C?S?iv lliCl?ii>�r <br /> Total Fee Due: $259.00(Due on or before your Anniversary Date) <br /> ri <br /> i.�.:�:r`l�-.,,..,' 5;. 'r;C�•E;,�i�v�:',�t :.0 i.:..-''� ,1-.15)u:>'j.°i�b; � - <br /> :i .N. ,°f_ Randal!, E1ecuti':e liiitC: '"zri- S;e_t1<'•:, s ii2C's:: s Ya, <br /> 7 f C <br />