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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: Alan Parkerson <br /> Permittee Company: Parkerson Construction,Inc. <br /> Address: 710 S. 15th St <br /> Grand Junction,CO 81501 <br /> Phone Number: (970)242-8134 <br /> Fax Number: (970)242-8977 <br /> Email Address: Alan@parkersons.com <br /> 1,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' sion approved mining and reclamation plans. <br /> Signature ofPeiWmfftee,Corp rate Officer,Owner,or Documented Designee Date <br /> M-AF-0 t <br />