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• III IIIIIIIIIIIII III <br />. . <br />ANNUAL REPORT <br />PERMITTEE NAME: Orlando & Rose Marie Martinez <br />PERMIT NO.: M-85-008 <br />OPERATION NAME: Leone-Gardner Gravel <br />ANNNERSARY DATE: March 22,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Huerfano <br />RE¢EIVED <br />r~arz !1 s ~sss <br />Division of <br />In order iu onsu.a that our records are un to date, please attach your revised annual <br />roport to tics annual rcpor. Note that a written report is not necessary if the m. <br />t4 beoiogy <br />map and written <br />resses ali ti:~ <br />Please type or print the current contact person's name, mailing address, and phone nu~rtber in the space <br />provided: ~ ~j~// 1 <br />Contact Name: ~Y/l!h/lo ~ ///CG~%/he7i Company: <br />Address:: ~~ /~/OL.ela/ / PhoneNo.:( '~/9) SS/ -3a37 <br />f ved/U ~(~ g / ~ ~ t~ Fax No.: ( ) I <br />Comments:: /y~~aCGe cY <br />Car,~ihve yl~lr7i <br />sP~, ~ <br />~~~ _ u ~ c ~~e ~ h 2~1~__~ <br />p"~ /° aCtPr Guts rCSvf /Py~ ~LC,c/ <br />s,cee/ ~/N, U/r{ti O/yh~rr arrre, ci.. <br />Signature of Corporate Officer, or Owner <br />r '74ai d' l~e` <br />ds O OGI' <br />~,-,~„ f ;rr of <br />3 //6 <br />Date <br />ARQCl~~33 <br />Cu 3~s~, <br />2 <br />7 a t/F Sr r e <br />S{zr. / ss <br />Cl~ ~h]Ynnl~ <br />M:~DNRM LU1 ASTERDN7 ~ AF-01. <br />