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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: Jon Salomonsen /� c <br /> Permittee Company: Marathon Oil Company <br /> Address: 1501 Stampede Ave <br /> Cody,WY 82414 <br /> Phone Number: (307)527-2125 <br /> Fax Number: (307)527-2003 <br /> Email Address: Jfsalomonsen@maranthonoil.com MS+NAft 11,, <br /> /y�wrcxP'lOt�p,� •COrw� <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 /> P11 l� - <br /> Signature of Permittee.4mk74t <br /> o Officer,Owner,or Documented Desismee Date <br /> M-AF-01 <br />