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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: Bryan Malouff <br /> Permittee Company: RMS Utilities, Inc. <br /> Address: 6349 County Rd. 106.65 S. <br /> Alamosa, CO 8 110 1 <br /> Phone Number: (719)589-4263 <br /> Fax Number: 719-589-4263 <br /> Email Address: bmalouff20020yahoo.com <br /> nnse2005@yahoo.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 /> IL dd��# 7/Y/7 <br /> Signatur f Per ittee r orate Officer, Owner,or Documented Designee Date <br /> M-AF-01 <br />