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N'~ <br />~ ~~~ <br />ocr 2 i 2coa <br />Permit No: M-1978-135-HR <br />Division of Minerals & Geology <br />Anniversary Date: September 9 <br />Operator= <br />Please complete the following and return this form with your <br />fees and reclamation data. <br />Enclosed are: ( check:~es) <br />,. Check or money order payable to Colorado Davison <br />of Minerala and Geology, Reclamation Division for annual fees due. <br />x Annual Report <br />Remarks: The h.s no t. '~ n any mainr rii.c t.nrhanrac nn +ha <br />property. The Y'F"' is reclamation that. hoc hPPn f1nnP_ Thera ~-T;a~5:.7~ <br />app. two ton of samples that Baas taken from the syrface, fnr +PR+.,ng, <br />Signature YY''~~~, __~-__ <br />I would like to mention that this report and the annual fee <br />was sent i3arlier on the date of 9/4/09. I am having the postal <br />service put a tracer to see where it might be. Thank you <br />