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1'a J+11i 1'~•ol!i~~ IIIf 1'•1111 ~1:111711'~Illl r111~!f;,l 111111+I~tfIIPd '''r1;^.IBI', n' FTI <br />, j~[ + „'x111 ,, ll/ il. S'f~ 1 i~. .,,I ~~,j <br />! ( ~' Ib~ I I,(II~! I 11 IIn:1 ~I ,111.,11 n.lluln r. 111, ~. ,~rl 1n 1ni~.'.I nl 1n,1tn r ~, Lnrr. pt '`I~lly ~F ~Iih 1 hl, 1 ' <br />~~, 1111E $~~l ~,F1'~~ Y~}:J J,111111nns In il,•m Id Hill', ,n nnl Il'l iln ut llrn'S 3.12.-. •' n'll, I~I'lPj1; 'l5 I S(t <br />l~1 Y~, n~ IIll4l _ ~ --- _- _- -- '-- -! . sII/r ,M~~JI+'1}h!^~ ,~ <br />~W r 111 ir.Lii. .. L. ~ .>I_ _ 7 1 .!.:.. f 1 /~ <br />-- - - -. .. <br />2. Malk "Y" in the box 3a. Slalc Pr unit hhmd+cr -' "-' ~• 4. 411nr IU Nu miler ' <br />_ 7h-3c' <br />if rust repot <br />~_~ 31,.Fxnilaunnu;ll" 71'000P 05D2C1b1 O1 bl S <br />5. Ndn,r, nl Onarator_ f592b61 I.. DLnnc n1 1'1; nln lil:n 198 .. <br />IVYUnINC FUEL CI)rIPgNY . <br />_ ,... _ <br />Nailing ndrlrr. c5 ~-~-~----~-- hl ailnirj 'ntld rC•; li~ I`: ~if:;; ~i i ~SL~L. <br />Pp 11Q.`( 15265 ATTII CIIUCI: 31 a" <br />CrKES~onn <br />ISIdIe ~Zln (:ryll' Cny ISliI(C <br />co ~.rlt.ls <br />LOC/}TION OF MlN[ <br />- - -l- ___I - -- _ -- <br />/. Name nl Mine d Gnu,ly 057 -'- - II. Sl:nc C B I(1 flcarell 1ov:n <br />SIGnp r1IrdE/r.nvnUlaN Cunt Jnr.,K~o" r.n <br />11. Name of Contact Prl son Telcphnne hlumhcl ~~12. Indian Rrervallun and/or Tnbr. <br />303 9?9-17U01 -- -- <br />coal <br />la} <br />nnthr.iciln, <br />UlWminou;, nr <br />Sul,bituminalls <br />t.l (111i1C <br />13. <br />(1, <br />` PRUUUC flOt+! !\tJU FC C COMI'U f/~T IUN y~~} ~~,~,~ <br />-`_ _ <br />PAinlnq Mclhurl I`illlll,l'I nl .,I r'. _- <br />I \•n I'1•\ I ,111 _ <br /> <br />(111 .,Ilh''rl In llp•1.rr ;d,uulnnl I I,rtrnl aql: <br />, I)nals <br />_._. __~.__ -._. .._. .._- ~~~_..____ '-.__ 1111_ I__I_1_-. <br />Sw l,ntr <br /> <br />.-,- <br />2ll,C,~') <br />____.._--__-_ :3:~1 r,1•nl; a1 CCn1a <br />IIff ~ <br />.___ <br />-. <br />-_-. _ ":'. <br />1,220 <br />lJn[ICr111 01111(1 i <br />1 <br />`( 11 f.C111[ nl CCI11S : <br /> <br />~11'~I~+~'~:Y~.:~1til~iely'~(1ii1i 1U 1.111 P, w r.gnb. -$ <br /> <br />Total FcC J~n f3r P;nJ No Lalcr tban l hint' 1301 D•ly', n111u I11n. I nd I <br />D! Thq Calcndal Dual11.1 ._-_-______ -. ..... ...____ .... ~_ _-- - ___-~- T' 1'~ _ ~ ` )? 0 ).5 <br />14. Cnrrrrtllnns a ndl Uliuns (1111.11111y hY Iu•m LI1,nd1"~' 1 Vii. (iSPA Il',c (1111`! - - <br />AllaCh Sherd II Mole SI1.,CC is hl gl;dnll. _ _ <br />].Q• IV R.I CI I'_11r CO~.O 1'ct r.lo _._. _ -___~_ __.._~~ _.-~_- __.___ <br />11. Charles D. :i15]: i,cnon _I Tl alnr,;ll:Iion lVn _ -nrrounl II{- Ob}ecI <br />I'al trot Pr r-17B/Ca;1l REG IUIJ 15' . '1 <br />PLEn_$E 11RITF. IliIP1E ID 0502661 rJl 51 co,'_Ir..ndl: <br />'' UN YOUR CIIECK ~ l'-cc'r1 Co111: <br />Call the toll Uce nun,l,er (1;00 ) 251 ^9302 ',I you have any I,roblem with this form, <br />National Toll Free i`Jwnber or any other prc,hlem regardin g the rcr,lamallon fcc. ' 1 <br />., ') s.S~+'lr~ y:. A :..yl,,l{f. 1G. Cf=11TIFIC/}Tll)N <br />i'lt~pl,%y'k1~1~~~~ti~~-:: I'` ri <br />(a.l I HE1lL6Y CEf1I IFY that Ibr sllllrl n,:ll r, In.d..r hr lydll --- -- - <br />(d.) Subscnln l1 and Swuln R, F.l•• Ihl:). ~.d1)-Uay ol- f ; f'; <br />OrC lr llC, Cnntl `{C.IR, dn11 0011 Cra In Ihn hr',1 nl In'; knnvr <br />t <br />l i)lllY 1D-sy 1_-. 111 [I`q:},1ia?nCCAt'J t <br />~ <br />' <br />lh. <br />Irdtlr! ;,nd belie 1, altd arc wade in gnnll <br />a <br />--_.-- -_ - ___. __ ~ -. v <br />r , <br />` <br />16.1 NamC of 1CPOl lfnq pr, rson, cnr11n1 dIC OIIICGr, Bgnnl nr ~ i <br />%_r/' <br />~ <br />(lit CClOr, On hrhall OI II,C OI1Cr dlO r, p! Ih(: ppnlnln' <br />Inrinl in ink or !Vn") / IsFnu ~'~. <br />~ •f' ` ~ .. <br />:' ~J i1 "..~~ , ~: ~ . <br />~/) . <br />J <br />~ <br />':i I~1'C:; 111••nl <br />C <br />., OI1l <br />PlU] / <br />--7 <br />, ~ <br />/( ( ,/ <br />~ £ <br />c <br />%~ <br />L +- <br />. <br />. <br />. <br />~_. - _._.-.-.__--__ <br />(C.1 $itJndlu r ~ I7a 11• <br />C <br />~,t <br />. <br />~ Ia <br />< ~ 7 <br />ntl~z 1 <br />c ~~nv~lxlt.lr ~,; <br />1 Y <br />'~ <br />- '; 1, I n J,l ,. <br />\~ 1 <br />l: _ ` <br />-~~ -- <br />__~ p <br />;.1; Cq,nl„IS[.i Or, eL,,il,_•• <br />_?Ua _ <br /> <br />_ <br />_ <br />-.. X. <br />I'nlr JO ,115 C. S~clr^, 732~n•,,ndr[ 11,.,( .in; - ,:. ~-,n ~ ,~1,,,, nr nn,-. _ <br />: <br />-. ~~•~1 ,,. •1•.. • -"i, ~' ,1i n1 a r. c.d n„n,• nnrr.vm .+hn ~nn,vinrtly <br />t <br />T:r4ns lny lalsC [6,r r,\\\n H, ,rl,r r:Gnl.ll,m\ ,n r^, I,II, .,I~n^ O~ 6n.,., r,,.1V r'~^'V•n 1. ~rpi rv,n n,gin,n 1 r r^1;112.1'~Oq 1~IIU LCII <br />i vI5 I np tl <br />' <br />m lhle cnrlinn J+nll I,nm+nwvir line I,o num[Iv.,l h•_ ., lam n1 nnl mn,n tl r.n, 'C,11 <br />qnl rn b[ mn,nnn,nrnl hp not ,nn,C IhaR ORB YC~• Or hOlh. <br />PAGE t.FEtUro-l In r•~'..tit <br />STIPUIT~TION #25 <br />, cl' 1 111 ,. ,.a... r.,..., r,] 1 nrl,.l ..... 1•111n <br />C°rls <br />n <br />CCnI$ <br />(~~ <br />15 <br /> <br />