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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: DavidL. Walker <br />Permittee Company: Walker Ruby Mining Company, <br />Inc. <br />Address: 7216 Marsh Terrace <br />Port St. Lucie, FL34986 <br />Phone Number: 772) 461-8322 <br />Fax Number: poi - 613,3 3o,3 <br />Email Address: Walkerruby@live.com <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 />ACJ,R&,,-- 2/3p b <br />Owner, or Documented Designee D to <br />M -AF -02