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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: Glynda Yoder <br /> Permittee Company: Precious Offerings Mineral <br /> Exchange, Inc. <br /> Address: 1100 Atdctrr <br /> 2-&0 P`-�13 b Gam. ✓ <br /> 6R,k t,, C-16 <br /> Phone Number: (303) 544-1188 <br /> +ax-NMrTbtW. v 3 <br /> Email Address: Glynda@annaebeauty.com <br /> Permitting Contact: Glynda Yoder <br /> Company: Precious Offerings Mineral <br /> Exchange,Inc. <br /> Address: '^^ "'aer+M <br /> -,colder,, G19 <br /> �C�0 3 cr <br /> c. t <br /> Phone Number: (303)544-1188 <br /> F, �;� <br /> Email Address: <br /> Inspection Contact: Glynda Yoder <br /> Company: Precious Offerings Mineral <br /> Exchange, Inc. <br /> Address: <br /> C-C) �3d5Lb r� <br /> Phone Number: (303)544-1118 <br /> � trnb_ <br /> C: — <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 /> 0)� l0 , 1 (. 1 7 <br /> Signature of P ittee Cor ,ora Officer,Owner,or Documented Designee Date <br /> M-AF-02 <br />