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Page 5 of 5 <br /> Division records indicate the following pemiittee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Jack Miller <br /> Perinittee Company: Superior Oilfield Services Co., <br /> LTD <br /> Address: 1011 1 I th Ave. <br /> Greeley, CO 80631 <br /> Phone Number: (970)352-4444 <br /> Fax Number: (970)353-0139 <br /> Email Address: Rick.m@superioroilfieid.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 Division approved mining and reclamation plans. <br /> i 0- 6 <br /> Sig tore of_Permittee,Corp ate Officer,Owner,or Documented Designee ate <br /> M-AF-01 <br />