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A <br /> 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: CraigSparrow <br /> Permittee Company: Western Equipment&Truck, <br /> Inc. <br /> Address: 2055 1st Ave. <br /> Greeley, C08063 1 <br /> Phone Number: (970)353-6682 <br /> Fax Number: (970)352-73 15 <br /> Email Address: <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 /> qiii,1117 <br /> Signature o ermiaiee,C norate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />