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<br />• <br />ANNUAL REPORT <br />PERMTI'TEE NAME: Park County <br />PERMIT NO.: M-80-019 <br />OPERATION NAME: Hall Gulch Pit* <br />ANNNERSARY DATE: April Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Park <br />iii iiiiiiiiiiiiiiii <br />~~ ~~ <br />~~9 ,~ <br />FECE~VEU l~ f\ <br />MpR `? -ti tigS9 <br />~„ ~,gpn ct thmerals & Geotc9Y <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <br />repoii to this annual repor[. 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: <br />Contact Name: /lOBEkT ~~i4NCE <br />Park County Road 8 Bridge <br />Address:: n_„ ..~ <br />1248 Courtly Road t18 <br />- ~ - <br />Company:PRK (-ou~Y /logo '~ .QR/OGE <br />Phone No.: (9/9) 836- HR$3 <br />Fax No.: (9/9 ~ 8,~6- H,i7s <br />Comments::'(.~G~ ,~~ca ,~u.e~iHt.:...~...T.,.~.....:,LL.~..~ ,a <br />~ _ _ n ~ O <br />f~~ ~ S arU. sow .('ar `t~1C (oc+'wt y 3 <br />J~~~ P <br />Signature of Corporate Officer, or Owner Date <br />M:~DN R MLU1ASTERDVv7 ~AF~Pt. <br />