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IIIIIIIIIIIIIIIIIII �� � s� <br /> ANNUAL REPORT <br /> RECEIVED <br /> PERMITTEE NAME: Washington County i1AY 0 3 1999 <br /> PERMIT NO.: M-83-001 'J,vls:onotMinetals&Geology <br /> OPERATION NAME: Cecil 11-34-=19x <br /> ANNIVERSARY DATE: May 16, 1999 <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: S225.00 <br /> COUNTY: Washington <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 report. Note that 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: /�II <br /> Contact Name: Za cy Company: L b�lr a6 y -t4� 3 <br /> Address:: )01 Phone No.: ( 9�10 <br /> ttnt 4A^i CUlD g4 LEI Fax No.: ( 97v 1 314.5 —.2702 <br /> Comments:: <br /> I <br /> y-.2 9 <br /> Signature of CGMorate Officer, or Owner Date <br /> LYSTRUCTIONS ON BACK <br /> M DNRh7L.h1ASTERD'W AF 04 <br />