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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 />GeorgeE. Otten <br />Permittee Company: <br />Central City Consolidated Mng <br />Address: <br />C/o Hunter Gold Mining Corp <br />11438 Weld County Rd. 19 <br />Fort Lupton, CO80621 <br />Phone Number: <br />(970) 785-2538 <br />Fax Number: <br />(970) 785-6248 <br />Email Address: <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 in accordance with the Division approved mining and reclamation plans. <br />Signature offermittee, torvoratibfficer, Owner, or Documented Desisnee Date <br />M -AF -02 <br />