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;. <br />iiii-i -iiiiiiiii <br />ANrruA,. 9ri,.:.~ ~__r <br />PERMiTTEE NAME: Fremont Paving &Redi-Mix Inc <br />PERMTT NO.: M-95-008 <br />OPE2F;PION NAME: Florence Pit <br />ANNIVERSARY DATE: May 13, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Fremont <br />~~ ~~ <br />~~ ~~~. <br />~'EGEIVED - ~' <br />MAR 0 9 1993 <br />OIVISIOn ur Minerals 6 Ge010~y <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 that :>t written report is not necessary if the man addresses all the <br />items listed in the attached instructions concernine mininE 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 />Contact Name: Mr. John P. Ary <br />Address:: Box 841 <br />Canon City, CO 81215-0841 <br />Company: Frerlont Paving &Redi-Mix, Inc. <br />Phone No.: ( 719 1 275-4555 <br />Fax No.: (?19 ) 275-8897 <br />Con.ments:: <br />ignature of Corporate Officer, or Owner <br />-1--~ 9 <br />Date <br />M:IDN RMLIMASTERDV.7-AF-01. <br />