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r' <br /> P.O. Box 3244 <br /> Idaho Springs, CO 80452 <br /> Phone Number: (303) 567-0422 <br /> Fax Number: N/A <br /> Email Address: <br /> CF.PR.email <br /> The above contact information is no longer valid and must be changed for future <br /> correspondence. This is as follows:(Please note the Patricia Mosch recently passed away and <br /> the responsible persons for this permit are David and Alvin Mosch. Thanks.) <br /> Permittee Contact: David Mosch <br /> Permittee Company: Alvin Mosch <br /> Address: <br /> C/O David Mosch <br /> P.O. Box 1484 <br /> Idaho Springs, CO 80452 <br /> Phone Number: (775)385-3638 <br /> Fax Number: N/A <br /> Email Address: davidmosch@yahoo.com <br /> I, the undersigned, hereby state that the information provided in this report is true and <br /> accurate, and that site operations are being conducted in accordance with the Division <br /> approved mining and reclamation plans. <br /> Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br /> Date: November 14, 2016 <br />