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Page 5 of 5 <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />HerbK. Pearson <br />c U v - <br />Permittee Company: <br />ALL -RITE PAVING & REDI- <br />MIX, INC. <br />Address: <br />P.O. Box 1128 <br />Po �s <br />La Junta, CO81050 <br />U-t� ' (-j glajs <br />Phone Number: <br />(719) 383-2600 <br />-j q da- � <br />Fax Number: <br />(719) 383-2211 <br />Email Address: <br />Herb@arycorp.com <br />' d KL4 WI -40.80 <br />M <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted inaq-ordance w,0 the Division approved mining and reclamation plans. <br />Signature <br />M -AF -0 t <br />Owner, or Documented Designee Date <br />