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Page 5 of 5 <br /> Division records indicate the following permittee/landowner contact information(blank fields indicate that we do not have <br /> information on record). If this information is blank or not current,please type or print current contact information: <br /> Permittee Contact: Kerry Vinci <br /> Permittee Company: Aspen Mineral Resources, Inc. <br /> Address: P.O. Box 1309 <br /> Rancho Santa Fe, CA 92067 <br /> Phone Number: (619)520-5500 <br /> Fax Number: <br /> Email Address: <br /> KDO CA5ADE AJC ( . C6 LIX <br /> Permitting Contact: - <br /> Fa <br /> Company: Aspen Mineral Resources, Inc. <br /> Address: P.O. Box 273 <br /> Gunnison, CO 81230 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: <br /> Inspection Contact: E ntftdar- <br /> Company: Aspen Mineral Resources, Inc. <br /> Address: P.O. Box 273 <br /> Gunnison, CO 81230 <br /> Phone Number: <br /> Fax Number: <br /> Email Address: <br /> 1,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, Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-02 <br />