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Pz%, 5 of -, <br />Di vibivu , eeui dz, i„dieatc the following permittee contact information. It this information is not curre„t_ yleaae type o, p, i„ t <br />current contact informadon: <br />Permittee Contact: fedi Rit icer 1 Y <br />�(J414'l �• T LF�t.� <br />rermittee Company: ALL -RITE PAVINU & REDI- <br />_MIX, INC. <br />Aad, ess: P.U. Box 165 <br />Phone Number: <br />Fax Number: <br />Email Add,ers: <br />Canon city , CO 81215 <br />(719)275-i180 <br />(719)275-8891 - <br />Jodi@arycorp.com Lae V <br />I, the undersigned, hereby state that the i„fv, Ovation p,ovided in this report is true and accurate, and that site operatio.,s are <br />bci„ g Conducted in accordQce with the Division approved mining and reclamation plans. <br />Tf /'Vry <br />Owner, o Documented Desi nee Date <br />M -AF -V <br />