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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: Bud Bower <br /> Permittee Company: James H&Kathleen H Ross <br /> Address: 595 Taylor <br /> Craig,CO 81625 <br /> Phone Number: (970)326-8562 <br /> Fax Number: (970) 824-9710 <br /> Email Address: Bowrbros@mindspring.com <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 /> R 1 C'�4j � . c — (310 <br /> Signature of Permittee,Corporate Officer,Owner,or cumented Desienee Date <br /> M-AF-01 <br />