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<br />~ iii iiiiiiiiiiiuiii • <br />ANNUAL REPORT <br />PERMITTEE NAME: Robert D and Lavelle Corey <br />PERMIT NO.: M-87-024 <br />OPERATION NAME: Corey Gravel Pit #3* <br />ANNNERSARY DATE: April 17, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: iVlontrose <br />'DECEIVED <br />APR 19 1999 <br />~~~ <br />~ o <br />~, ~ <br />~,, .~r Minerals 6 Geology <br />~~ <br />In order to ensure that our records are 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 necessary if the map addresses all the <br />items listed in the attached instructions concernine minine disturbance and reclamation uudaie. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: /~//C~Ae/L. I[ i~O Company: ~~f~ ~~¢,vGY,q,/~ (~/yl/C/ ca <br />Address:: /-0 ~X ~~.~ PhoneNo.: (9~~) ~~~'9/~/ <br />~2~~i4 Li~ ~~~~~ FaxNo.:~I~C' ) ~~~-d'~.26' <br />~e riDUJ~lC6/NP17'~ <br />/PRC/-4'1.4//QI/ wl~~ ~l/e'f <br />Signature of Corporate Officer, or Owner <br />co,~pl~ <br />~~/9 <br />Date <br />pp ~a 3:/s~,~v// <br />Are /e~roY/ea~ <br />h7:1DNRMLNIASTERDV.1-TF OI <br />