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Page 6 of 6 <br /> Email Address: Calsisu@hotmail.com <br /> Inspection Contact: Craig Liukko <br /> Company: Red Arrow Gold Corporation <br /> Address:) PO Box 531 <br /> Mancos, CO 81328 <br /> Phone Number: (623)551-4158 <br /> Fax Number: (623)551-8127 <br /> Email Address: <br /> Landowner Contact: <br /> Landowner Address: <br /> Landowner Phone <br /> Number: <br /> Landowner Email <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 NOI and reclamation plans. Rule 5.6.1(h). <br /> Signature of Permittee,Corporate Officer,Owner,or Documented Designee Date <br /> P-AF-01 <br />