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ATTACH ANNUAL FEE CHECK HERE <br />DATE: DECEMBER , 2012 <br />RE: ANNUAL REPORT PERMIT <br />NUMBER M -2000 -115 MULLETTS EXCAVATING PIT #1 <br />PERMITTEE NAME: <br />ADDRESS: <br />MULLETT EXCAVATING, LLC <br />320 CR 241 <br />P.O. BOX 322 <br />WESTCLIFF E, CO 81252 <br />PERMIT NO.: M -2000 -115 <br />OPERATION NAME: MULLETTS EXCAVATING PIT #1 <br />ANNIVERSARY DATE: JANUARY 29, 2013 <br />ANNUAL FEE DUE: $ 791.00 <br />COUNTY: LAS ANIMAS <br />