REP23615

• Permit No: M1985203
• IBM Index Class Name: Report
• Doc Date: 5/12/1999
• Doc Name: ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
ANNUAL REPUR"f
PERMITTEE NAME: Summit Brick & Tile
PERMIT NO.: M-85-203
OPERATION NAME: Edmondson Clay Mine*
ANNIVERSARY DATE: May 09, 1999
ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00
COUNTY: Pueblo
in the space
In order to ensure that our records are up to date, please attach your revised annual
report to this annual report. Note that a written report is not necessary if the m;
Please type or print the current contact person's name, mailing address, and phone
provided:
Contact Name: Jb$~of~ G ~/~LTF Company
Address:: ~ ai fox S33 Phone No.:
~~F~~~, CO FaxNo.:
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Division of Minerals ~ Geob99
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Sign ore of Corporate Officer, or Owner
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Date
INSTRUCTIONS ON BACK
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