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<br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Sunnyside Gold Corp <br />M-1977-378 <br />Sunnyside Gold Mine <br />June 10, 2002 <br />JUN p 7 2002 <br />Diui&ion of Minerals and Geology <br />$550.00 (Due on or before your anniversary date) <br />San Juan <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the pemtit, an <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised written annual report and annual report man to this form. Please note that an <br />adequately labeled nzap that clearly delineates atut includes the above elements may suffice for a wrztterr <br />report. <br />• Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Larry Perino <br />Permittee Name: Sunnyside Gold Corp <br />Address: 136eN. <br />P.O. Box 177 <br />Silverton, CO 81433 <br />Phone Number: (970) 387-5533 <br />Fax Number: (970) 387-5310 <br />f+.I ~Ia~9~o...-e <br />If you have additional comments and/or information [hat should be provided [o the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />~•-may C~¢-,~-~., - t~s-c31s--•. ~~.-. v"La-.?-Iyr <br />Signatur of Corporate Officer or Owner <br />• ~-4-oz <br />Dale <br />ANNUAL FEE and REPORT REQUEST RECE! ~9ED <br />M: W ERMITVv1A5TERD000M ENTS/M-AF-02. DOC <br />