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: ~ ~ <br />i <br />III IIIIIIIIIIIIIIII ~~.~- ~~ 2Z <br />ANNUAL REPORT <br />PERMITTEE NAME: John O Buckner <br />PERMIT NO.: M-93-030 <br />lion ~ ~ Gemo9Y <br />OPERATION NAME: Crystaljack Mine <br />ANNNERSARY DATE: April 26,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $75.00 <br />COUNTY: Teller <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 repori. Note ihai a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concerning mining disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: John 0. Buckner <br />Company: Crystaljack <br />Address:: 2516 Waldean St. Phone No.: (719 ) 634-4042 <br />Colorado Springs, CO 80909-4015 Fax No.:( 719 ) 634-5431 <br />Comments:: See accompanying written report with attachments. <br />Signature of Corporate Officer, or Owner <br />Date <br />M:~DNRh1 LV.A ASTERDU7-AF-02. <br />