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• % • • III IIIIIIIII IIII III <br />_ . Notice of Intent to Continue Mining Operati~ <br />110 Annual Report <br />~U~ •~ ~r i~au <br />Permittee Name: Mathias Concrete Inc. MIN EIS LNIVl.+ <br />Permit No: M-80-201 •i ~~wnvinni nn~ <br />Operation Name: O'Bannon Pit <br />Anniversary Date: 10/23/90 <br />Total: E50.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />~' ~/ <br />Signature <br />aD <br />~~~\ <br />