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2- <br />Q, sntsrian~isT~iNgpAwrsTION: <br />1. PaumtNumber: <br />2. Opel Name: <br />i.i nd qg~. ('.anvnn T.i.(' <br />New Operation Name <br />3. Currant Permuted Ocerator. <br />CoatactPmson: Dorothy Goff <br />CompenyName: B & D Trucking <br />Street 6?477 Jade Road <br />City: Montrose <br />State: Colorado Tap Code: 81401 <br />Area Code: 970 'I'~p>~ 249-2865 <br />4. Successor Ooerator• <br />Contact Person: <br />Company Nano: <br />Gary W. & Jacquelyn M. Cooper <br />Lindsey Canyon LLC <br />11554 64.50 Road <br />Stara <br />Area Code: <br />IRS Tax ID Na ar Social SecorityNo.: <br />Montrose <br />2!nlnraAn ZapCo~k: Rtd~,] <br />970 Talaphate: 249-8348 <br /> <br />5. AooHeatloa Fes: SI00.00 for Hmd Rock opmations: 5125.00 for Cow Materials operations <br />Make chedr payable to the Division ofMinaals a~ Geology <br />