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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 print <br />current contact information: <br />Permittee Contact: <br />Bob Gydesen <br />p � �c� IBJ l Lk � Sd &-) <br />Permittee Company: <br />Colorado Mining and <br />Exploration, LLC <br />Address: <br />502 S. Wisconsin Ave. <br />Gunnison, CO 81230 <br />Phone Number: <br />(970) 596-4520 <br />sY40— it (. I ? _ - 3 l <br />'( <br />Fax Number: <br />Email Address: <br />Lk; ei-k) @___ l,A V q . (o /.-1 <br />I, the undersigned, eby s . t. that the information provided in this report is true and accurate, and that site operations are <br />being con s ucted i /'c d,c: with the Division approved mining and reclamation plans. <br />1Lc <br />Signature of Per ittee, Corporate Officer, Owner, or Documented Designee Date <br />M -AF -02 <br />