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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: Jim Duran ,, (L Dere—IC- r ,rrAr1 <br /> Permittee Company: Duran&Pearce Contractors, <br /> Inc. <br /> Address: 504 Stock Dr. <br /> P.O. Box 1331 <br /> Craig,CO 81626 <br /> Phone Number: (970)824-4014 <br /> Fax Number: (970) 824-4014 <br /> Email Address: Jimm tmex ahoo.com <br /> Y Y C irEYc-kors l: c1 M�:,t C c+ r►1 <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 /> // J5' <br /> Signature of P rmittee,C porate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />