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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: Jodi Ricker 1- <br /> 6) VIA <br /> Permittee Company: ALL-RITE PAVING&REDI- <br /> MIX, INC. <br /> Address: P.O. Box 165 <br /> Canon City,CO 81215 <br /> Phone Number: (719)275-1280 <br /> Fax Number: <br /> Email Address: Jordi@arycorp.com <br /> 5-e k2• cIuS11ci1rv‘earY,, .0 rP• (rfrilik <br /> I,the unde i ed,hereby state that the information provided in this report is true and accurate,and that site operations are <br /> being cond cttd Al accordance with the Division approved mining and reclamation plans. <br /> _1• 0111.. ju yvz_ 21 2_0,6 <br /> Signature Pe.,. • orporate Offic or Documented Designee Date <br /> V-AF-u l <br />