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-fW STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> COLORADO <br /> 1313 Sherman St.,Room 215 D IV IS I ON o f <br /> Denver,Colorado 80203 c/ RECLAMATION <br /> Phone (303)866-3567 / M I N I N G <br /> FAX (303)832-8106 N Yyj� SAFETY <br /> APPILICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> RECEIVED <br /> Permit Information JUL ���, <br /> Permit Number: M-1979-181 <br /> ,vis1on cf Redarnation, <br /> Operation Name: Ruby Trust Mine safety <br /> Permittee Information <br /> Contact Person: Marilyn Anderson <br /> Company Name: 42 Mining Company Ltd. <br /> Street Address: 300 E. Commerce St. <br /> City: Jacksonville <br /> State: TX Zip: 75766 <br /> Phone:-( 903 ) 586-3678 ✓�'� <br /> Email (optional): m.anderson.cpa@att.net VA �ivCz� <br /> Prospective Success P?1V&xT <br /> Information <br /> Contact Person: L'. � ���• ( �� <br /> Company Name: Walker Ruby Mining Company, ,�c• <br /> Street Address: 7216 Marsh Terrace <br /> city: Port St. Lucie /V0 <br /> State: FL Zip: 34986 <br /> Phone:-( 772 )461-8322 <br /> Email (optional): ��e���/6�L <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />