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Pal-e C ui j <br /> Division records indicate the following perrnittee contact information. If this information is not current,please type or print <br /> }_ <br /> s"sii'►cEii%vi.tc-i--t iiiiv;iliuiiii.i: <br /> Permittee Contact: Marilyn Anderson49 <br /> ( � <br /> I <br /> Address: �300 E. Commerce Street <br /> � ! j <br /> Jacksonville,TX 75766 1� <br /> Phone Number: CF.PR.telephone_number <br /> Fax Number: ; <br /> ,7tttt°ti5' ,�� ��ft"lC7�illl.;.l; ttF,-i � <br /> t f I GLIG�L�/32Y'r'l�jvj Q �I✓�z Gvr.-s <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 /> �:;.b.,•,�;aa a^,T rt��nr:.=;�-rya d'nr�s�r;;rs �3fa�a�Q�-. ��'s�✓��r.�;r�tsa�a�;��..+ra r_s�a6 a3�*>�u'�:a' ��1f� <br />