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<br />ANNUAL RUPORT <br />~. <br />PERNI]TTEE NAME: Baca Counh~ <br />PERIvt[T NO.: m M-93-088 <br />OPERf\TION NAN1E: GDNREL PIT N0. 31 <br />ANNIVERSf\R1' DATF: ~gGg 07, 1999 <br />ANNUAL rEE DUE ON ANNIVERSARY DATE: 522.00 <br />COUNTY: Baca <br />RECEIVED <br />MAY 10 1999 <br />Division of Minerais & reobgy <br />In order to ensure that our records arc up to date, please attach your revised annual report map and written <br />report to this annual report. Note that a written report is not necessan~ if the map a[ldresses all the <br />itrms Iicted in the attached instructions concern;~a mining disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: RAY MILLER <br />Address:: <br />SPRINGFIELD. CO 81073 <br />Company: BACA COUNTY DIST. I <br />Phone No.: ( 719 ) 523-6532 <br />P'ae No.: ( 719 1 521-65ft4 <br />Conunents:: yi'o~ v~ ~~ ~>~~~~C l~i~E /~J~ ~u 6 nJlTc,1,~.,cr' <br />Signature of Corporate OfFicer, or Owner Date <br />INSTRUCTIONS ON BACK <br />~I ~DNR\IL',\I~\ti11~RU AI~n F-UJ <br />