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Idaho Springs, CO 80452 <br />Phone Number: (303) 567-0422 <br />Fax Number: N/A <br />Email Address: <br />CF.PR.email <br />The above contact information is no longer valid and must be changed for future <br />correspondence. This is as follows: (Please note the Patricia Mosch recently passed away and <br />the responsible persons for this permit are David and Alvin Mosch. Thanks.) <br />Permittee Contact: David Mosch <br />Permittee Company: Alvin Mosch <br />Address: <br />C/O David Mosch <br />P.O. Box 1484 <br />Idaho Springs, CO 80452 <br />Phone Number: (775) 385-3638 <br />Fax Number: N/A <br />Email Address: davidmosch@yahoo.com <br />I, the undersigned, hereby state that the information provided in this report is true and <br />accurate, and that site operations are being conducted in accordance with the Division <br />approved mining and reclamation plans. <br />Signature of Permitted, Corporate Officer, Owner, or Documented Designee Date <br />Date: July 27, 2015 <br />