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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 <br /> Permittee Company: All-Rite Paving&Redi-Mix Inc. <br /> Address: P.O. Box 165 <br /> Canon City,CO 81212 <br /> Phone Number: (719)275-1280 <br /> Fax Number: (719)275-8897 <br /> Email Address: Jodio@arycorp.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 ' cor ance th the Division approved mining and reclamation plans. <br /> 2-z� <br /> Signature of Per ittee er,or Documented Desiinee Date <br /> M-AF-01 <br />