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Page 5 of 5 <br /> Division records indicate the following pennittee contact information. If this infonnation is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Raymond Lazuk <br /> Permittee Company: Climax Molybdenum Company <br /> s <br /> Address: Highway 91,Fremont Pass ' <br /> Climax,CO 80429 <br /> Phone Number: (719)486-7584 <br /> 1 <br /> Fax Number: (719)486-2251 3 <br /> Email Address: Raymond_Lazuk Lazuk@fini.com A <br /> 3 <br /> I the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are <br /> � Y , <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> i <br /> Signature ot\Vermittee.Co orate Officer,Owner,or Documented Designee Date <br /> M-AF-02 <br /> 8 <br /> I <br />