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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: Richard Fretterd <br /> Permittee Company: Richard Fretterd <br /> Address: 1065 Woodland Ave.,#16 <br /> Woodland Park,CO 80863 <br /> Phone Number: (719)687-0671 <br /> Fax Number: <br /> Email Address: Richardfretterd@peoplepc,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 /> Signature of Permittee or orate 45ificer,Owner,or Documented Designee Date <br /> M-AF-02 <br />