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• <br />III IIIIIIIIIIIIIIII • <br />ANNUAL REPORT <br />PERMITTEE NAME: Park County <br />PERMIT NO.: M-95-027 <br />OPERATION NAME: Ansley Pit No 2 <br />/~K <br /> <br />RECEIVED <br />MAY 10 1999 <br />ANNIVERSARY DATE: May O8, 1999 <br />Division of Minerals & Geoio9Y <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Park <br /> <br />~y <br />~~O <br />!~9 <br /><~ <br />In order to ensure that our records aze up to date, please attach your revised annual report map and written <br />report to this annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concerning mining disturbance and reclamation update. <br />Please type or print the current contact person's nanre, mailing address, and phone number in the space <br />provided: <br />Contact Name:~e~-1 //ten c..e <br />Address:: <br />P~~~~~~ <br />Company: ~~ k r~,~~~~~x /3 <br />PhoneNo.: (7/5) 4'3[0 - '~Z £S3 <br />FaxNo.:( 7/5 1 S53[,- U2~5 <br />Comments:: I `~~o~w,d~..f__L ~.~o-«w~~,~ S~~ 11 ,~. e~'r.c,~' No_.J r/,~}~(~a~c1c, <br />Signature of Corporate Officer, or Owner Date <br />/NSTRUCTIONS ON BACX <br />m~~ orranautw~sTE aflva.nF-na <br />