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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: Fred Frei <br /> Penmittee Company: Flag Resources Inc <br /> Address: 1412 CR 311 <br /> New Castle,CO 81641 <br /> Phone Number: (970) 876-2397 <br /> Fax Number: (970) 876-5232 <br /> Email Address: Flagsandandgravel@gmail.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 /> Signa ure of Permittee,Coraorate Officer,Owner,or Documented Designee 6ate <br /> M-AF•01 <br /> Note: Additional information provided on <br /> attached page. <br /> Flag Resources,Inc. - Goldman Pit 2016 Annual Report Cont. <br />