2004-05-03_REPORT - M1977004

• Permit No: M1977004
• IBM Index Class Name: Report
• Doc Date: 5/3/2004
• Doc Name: Annual Report and Fee
• From: Homestake Mining Company
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

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Feb-25-03 03:5?pm From-BARRICK GOLDCORP [phone] T-006 P 009/010 F-T45
6
NOTARIZATION OF OPERATOR'S ACK.NOWLEDGE1fEM
STATE OF
ss.
COUNTY OF )
The foregoing instrument was aciatowledeed before me this
by as
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Minerals and Geology
By
Division Director
day of
of
NOTARY P[JHLIC
My Commission esp~res:
Date:
i
0191 F ImA
PE`/(SED a19i