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~ III IIIIIIIIIIIIIIII ~q• <br />t <br />NOV 91999 <br />Permittee Name: Ron Ebberts MINED LAND <br />Permit No: M-80-038 RECLAMATION DIVISION <br />Operation Name: Disappointment Valle <br />Anniversary Date: 10/01/89 <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT:- - - --- - - - - - <br />G?/JJ zo-C.C~lU2~ L/l~ ~-^2-~ ~i ~C,Q.~c~ `y ~L'c ~'1'~'e"' (p ~2 <br />~/~ ~ <br /> <br />~~~ <br />Signature <br /> <br />