Laserfiche WebLink
Page S of S <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: Ben Frei <br /> Permittee Company: Albert Frei & Sons Inc. <br /> Address: P.O.Box 700 <br /> Henderson,CO 80640-0700 <br /> Phone Number: (303)289-1837 <br /> Fax Number: (303)289-2865 <br /> Email Address: Bfrei@albertfreiandsons.com <br /> I,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 /> -- —;I— - ' S /3 l ,2-ITl4 <br /> Sign'afure of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> WAF•QI <br /> See attached sheet for additional <br /> information <br />