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SUP. ~ ('TJ ~lJG~ G <br />STATE OF COLORADO <br />DIVISION OE MINERALS AND GEOLOGY <br />rk•rylnme•nl ul Nelmal Newwa•y <br />1 11 1 Shaman 5(, Rain :I 5 <br />tkxwrr, Colorado dg2nt <br />rmorM. I Totr dlu.li67 <br />rnx I)OA B]Dd106 <br />hretnuttt (UUrlly' <br />('aunty l'ontml.Nn)nrrs <br />(115 ~~~9aron •qvc . Room !1105 <br />t';uuut (uv, t•u !,1212 <br />ai'a.U 1.:1\I) R1'.( I.A'.i : fiu\ liO,\1{-i <br />IIOr \\\1 U FFI•:I\\l)I<'P.;\\I)I{I•:I'u1Cl I{I(()I P'til' <br />I'I I.:\51' ({I r11)( ARPPI11. <br />COLORADO <br />f1 1 Y l S I tI N U f <br />MINERALS <br />GEOLOGY <br />of QA•A110b•NININ4 <br />fAR 1.•lUlNCI <br />tlJl llwrna <br />L~VrlMIxM <br />Ru+wil (:nxp+ <br />f V7 UIIYI• n11N'(11I <br />RulclYf W', f:arWy <br />Dhmm n+mnur <br />Nmwal N.ywne Tnnxr <br />I'ndcr the tcrnn of your Rcclamahnn I'rrnul and ('olorudu Stalulo, you must submit Annual I•ccs and Annual <br />kcports. You moat pay the Annual Per and Nuhmit an Annual Kepurt each yru anal nrclantahon respun.d)rlny <br />rclrasr rs gr:nerd. I he :\nnual Per is nnl u reneTeal fce. 'T'he to and the report arc tier 1.:\ti l' 1'I? \R~ nunmg <br />an.l rrcl:unation scasun.:uxl 11Uti'P he rrceived even tf your ulxrauon was in :m Inartnr ,talc Ihr tic and <br />rcporl urr due ON alt Iil I't )I{1' your pennil ;uunvrr.ary date shown hclu(v. <br />II' you have rryur~lyd rrclamauun nsponsd)ihty release tiom the Ihv(su)n al' Mincntls :utd (icology (Ihr <br />"I)ivi.lan"I but your perntit (s nut rcleasrd by your unnlvrrsury date lislcd below, the annual fcc Nl'ti"I' he <br />p:nd. II' the pemm (s rcicnsed hcti)rc thr ann(vers:uy darn, then by titunnr, you do no; pay un annual frr ur <br />Nuhmit an annual rl'pUfl ti)I' !hat yCar. <br />I'I,F.r\tiM: \t)'I'F.: IP IIII' r\\Nl'AI FF.h, ANNl1,~f Rf.POI{I. -1NI> r1 MAT' AKI' Nul RI':('1,1~'I•I) UN <br />ul{ lil•I~ul{I- 1'l~lil{ :ANNI~'PI{tiAl{1' I):CI1:.:1 Pul{\i;AI Nulll7~_t)I~ Vlul APION_,~NI> A ItuAJ{I) <br />ukl)I R lu I'A1' (Ibll I'I \:\I III'J IN Ill!. ;\YI(Il'NI Pt>It;\I Pu 1111 :\\\I :11 I'I(I ti2sl 1111 \\'ll I <br />I)I' \I It).\1:\Ilt':\I.I1' :1.ti~1' till), Nt) I'IK\illti Pull N11\` \11\Iti(~ UI'I.I{:\'I'IUNS 511111 kl' <br />ld{;\\tl'1) IU AN\ OI'I'Kr\Il)I{ N'lIU IJ l Ll{ftl•.\'I'I1' Put NI> I(I Iil. IN VI(11:\ll(1\ IV IIIIti <br />til ,\ 11. ((' R 5. !4-l!.i-I Zll UR ('.I{.ti. 3d-12-12(11 GN I II I'll!, VIOI A 11( IN Iti AI{A Il'I) <br />I to I>uul rrrurds n:dlr,llc S2~ I l10 to t, due <br />I'rnnlt No.: I\1-149d-I 14 <br />t llxralum Nantc; I'hunlum ('anyun 1'n <br />\nnncrsary 1)atc: r\uEua ti. 201)6 <br />I ulul 1'rr I)ur ti281 (It) I I>uc on ur hetixc your rlnn(vcrsury 1)ae) <br />If vital ~+ ur,!~ u;dlralr dlfl'errnt liuas than Those stated above please nuuly Ihr I)ivtstun <br />I'Icasc rewrn thr inclosed annual report 1 OR\i. a ~1\I'. and a !'111':(1 ,rr \11 )\1 1' ul{f)I R made payable to <br />thc• I Avlsion (rf ~'linrruls and (iculu}~y, 1313 Shcrnsm tit., t{Ixnn Z I i. I knu•r, c Iduradn 111_'03, <br />'Thank you titr your cooperallon m Ihts ntanrr. ' , , <br />Oihrr ul CNtifc of Colorado <br />A4nWr{IWKIII(10{'i'anWtli7Nrxx.li\u~N IS.W-nl x4 Adivc and lnac'tivo Mmes Gmlogail Survey <br />