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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: Tommy R. Cardwell <br /> Permittee Company: Blue Star Exploration,LLC <br /> Address: 17914 Asphodel Ln. <br /> Spring,TX 77379 <br /> Phone Number: - <br /> S 13t-� S <br /> Fax Number: <br /> Email Address: <br /> �fZP�14.C-AP..t7wtk- <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 a roved mining and reclamation plans. <br /> Signature of Permittee or orate Officer,Owner,or Documented Designee D to <br /> M-AF-02 <br />