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Page 5 of 5 <br /> Division records indicate the following pemuttee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Steve Muns <br /> Permittee Company: Tierra Piedra Ranch LLC <br /> Address: 6410 N Santa Fe, Suite B <br /> Oklahoma City, OK 73116 <br /> Phone Number: (405) 840-9196 <br /> Fax Number: (405) 840-9579 <br /> Email Address: Muns@coxinet.net <br /> 1, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br /> be' g conducted in accordance with the Division approved mining and reclamation plans. <br /> K)& m � <br /> �a �� <br /> Sig�J, <br /> re of Permittee, Corporate Of—rice Owner,or Docu nted Designee Date <br />