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I <br />J ~ ~~~ ~~~~~~~~~~~~~ ~~~ ~ ~ ~~ <br />~~~ ~~ ~6 <br />ANNUAL REPORT <br />~ ~~j <br />PERMI'I'TEE NAME: Bent County <br />PERMIT NO.: M-85-014 ~ ~ ' <br />OPERATION NAME: Bonnie Earl Pit* REC~'ll/ED <br />ANNNERSARY DATE: April 12, 1999 MAR 1 ~ 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />Givis~on of rmrer ~s ~ ~eoio9Y <br />COUNTY: Bent <br />in order to ensure that our records utc up ~o date, please attach your revised annual re ort map and ;vriuca <br />report to this annual report. Note that a written re ort is not necessar if the ma ddresses all the <br />Please type or print the current contact person's name, mailing address, and phone nur~tber in the space <br />provided: <br />Contact Name: Virlev Burkhalter Company: Bent County <br />Address:: p-n. x~x 'tso <br />Las Animas, Co. 81054 <br />Phone No.: 719 456-2223 <br />Fax No.: 4 6-2 23 <br />Comments:: <br />Signature of Corporate Officer, or Owner <br />Date <br />M:SDNR M LU7ASTERDUI-A F-PI. <br />