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Contact Information <br />Here is the contact information we have on file for this permit. If any of it is inaccurate, you will have the <br />opportunity to correct it after this form has been submitted. <br />1_ Upon submission of this forth you will be presented with a link to the contact information update <br />form. <br />Z There is a question asking about the accuracy of this information at the bottom of this page. <br />Indicating that it is inaccurate will send an e-mail to notify your administrator to make the <br />appropriate changes. <br />Permittee Contact Information <br />Permittee Contact Name <br />Mary Buck <br />Permittee Company <br />Terra Piece Ranch LLC <br />Permittee Address 1 <br />M10 N Santa Fe, Suite B <br />Permittee Address 2 <br />Permittee City Permittee State Permittee Zip <br />Oklahoma City OK 731160WO <br />Permittee Phone # Permittee Fax # <br />4058409196 4058409579 <br />Permittee Contact Email Address <br />[rent@aoxinetnet <br />Permitting Contact Info <br />Permitting Contact Name <br />Ryan Clark <br />Permitting Company <br />Pehox Resources, Inc_ <br />Permitting Address 1 <br />126M W Colfax Avenue Suite C-010 <br />Permitting Address 2 <br />Permitting City Permitting State Permitting Zip <br />Lakevroed CO 80215 <br />Permitting Phone # Permitting Fax # <br />