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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 <br /> print current contact information: <br /> Permittee Contact: RonaldE.Walker <br /> Permittee Company: AZCO Construction, Inc. <br /> Address. 2055-U Migh ay 5( <br /> /!;-;Z -T�„ ��.-) �� � t <br /> Penrose, C481240 <br /> Phone Number: (719)372-6872 <br /> Fax Number: (719)372-0418 <br /> Email Address: <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 /> Signatur otPermittee,Co6orhe Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />