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iiiiiiiiiiiiiiiiiii • ~#6~~s <br />~~/D 33 8 <br />ANNUAL REPORT ~"aas, o~ <br />J <br />PERMITTEE NAME: Jack Pine Mining Company <br />PERMIT NO.: M-90-147 RECEIVED <br />OPERATION NAME: Mendota Properties I"F g ~ ~; ~~~5 <br />ANNIVERSARY DATE: February 12, 1999 Diwsian of Minerals & Geciog~ <br />ANNUAL IEEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Clear Creek <br />Please attach to this annual repn!t your revised annual report map and writren report. Nnte that a x~ritten <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concerning mining disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report inswctions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATI~D MAP ATTACHED <br />T~ CONDITIONS UNCHANGED. LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name:_ '~AI3,YAN W,4TiPauS Company: TAG k hiNS;< Mrnri//G Co. <br />Address::- i"'. ~. i3 o x (L Phone No.: (3 0 ~ ) SG 7- ~ 3!Yo <br />L d e. {•i o S~~ n a~ Fax No.: <br />Co. frns~s~ <br />Comments:: <br />~hr_rG have hots ho !i~st,vocs sine ~e6rua~v L~/y98 <br />.._ U/LF~,ta.~a/ . l~.ceo. ~iA..f..~~ 3 /9,~p <br />Signature of Corporate Officer, or 9wner Date ~ ~- <br />