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Ill)5G00FMMRD094Rev. 1212000MINE EMPLOYMENT AND PRODUCTION REPORT Licensee Name7974sM1 (B) Permit Number County Re ORT Type: Annual (due Jane, UY 211 Monthly (due within 21 days) Quarterly (due within

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The form requires reporting of financial data, operational metrics, and other relevant information as specified in the filing guidelines.

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