2001-09-27_REPORT - M1977346

• Permit No: M1977346
• IBM Index Class Name: Report
• Doc Date: 9/27/2001
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

-6-
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
STATE OF )
ss.
COUNTY OF )
The foregoing instnunent was acknowledged before me this day
of by
as of
NOTARY PUBLIC
My Commission expires:
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Minerals and Geology
By: Date:
Division Director
fl{IF.6ed
REVISED&%