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- ~ iii iiiiiiiiiiu iii 12~ -~-~~ ~7 <br />3 '~ - - ANNUAL REPORT" ~ "l~ "' <br />PERMITfEE NAME: Moffat County <br />PERMIT NO.: M-98-003 <br />OPERATION NAME: Raftopoulos Pit #1 '~C,EIVEC' <br />ANNIVERSARY DATE: Apri128, 1999 APR 16 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 ~.•. ;;un ul M!nerals & GeoWgy <br />COUNTY: Moffat <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 thar a wriiien report is not necessary if the map addresses ali 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 />ContactName: ~~1JtS ~. _1r,~~S Company: <br />Address:: ~ o • ~~ ~ C.~ ~ ~ Phone No.: (9 -1 J) S Z ~ - 3 Z r 1 <br />Crz.~!co Ct~ 4''~1 loZ~ FaxNo.:(470 ~ 82.N -~3~6 <br />Comments:: M/ip r'! i l /~ic l-~ ~r~ 5~ ~.~,~ +~ Ga l y ~ ~ >_ r~c~'~-~--~ <br />DF M 1 r.~~ IJG ~~ S i ::.2 t ~.4~JC ~_ ~cS Oi 3~/ / c' <br />C~ <br />Signature of Corpo to O ficer, or Owner <br />~ //- 99 <br />Date <br />A 1' ~ N R M LN7 A S T E R D U1- A F-0.1 <br />