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! =t <br /> ANNUAL REPORT (O� <br /> PERMITTEE NAME: Summit Brick & Tile Co. 9ECEIi/ED <br /> PERMIT NO.: M-77-219 <br /> OPERATION NAME: Fox No. I Clay Pit MAR, 2 3 199", <br /> ANNIVERSARY DATE: March 22, 1999 0.1s:ua of omnerals&Geology <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: Pueblo <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 man 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: /bs 6Pf! C WELJE Company: Tim C-1:> <br /> Address:: IP Of ,B©X 5.33 Phone No.: (7I! ).SVa ffa 76 <br /> 9�6�c O , -a F/ey.Z-OS33 Fax No.: (7l9 ) P62 V V3 <br /> Comments::( 4,SFF UPOAT�O /l9Rp <br /> y 11,7 9 <br /> Sig ture of Corporate Officer, or Owner Date <br /> MADN R M LW ASTER DW-AF-01. <br />