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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: Robert C.Regester <br /> Permittee Company: R&R/Regester Enterprises, <br /> Incorporated <br /> Address: 844 Beaver Pond Dr. <br /> Divide, CO 80814 <br /> Phone Number: (719)686-8744 <br /> Fax Number: (719)686-1184 <br /> Email Address: Bobregester@haydenoutdoors.com <br /> I,the undersigned,hereby state that the info/ ation provided in this report is true and accurate, and that site operations are <br /> being conducted in accordance with the 'if‘" sion approved mining and reclamation plans. <br /> 4 <br /> Signature of Per e , f rporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />