REV96562

• Permit No: C1984065
• IBM Index Class Name: Revision
• Doc Date: 6/6/1991
• Doc Name: APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
• Type & Sequence: RN2
• Media Type: D
• Archive: No

•
12. Correspondence Information
PERMITTING CONTACT (if differenct from applicant/operator above)
Individual's Name: SAMC
APPLICANTjOPERATOR (name, address and phone of name to be used on permit)
Individual's Name: RUSHTON 0. BACKER
Company Ndme: NCIG FINANCIgI, INC.
Street: P. 0. DOX 92401
City; LOS ANGELES
$ta te: CALIFORNIA
Area Code: 213 Telephone: [phone] Zip Code: 90009
Company Name:
Street:
City:
State:
Area Code: Telephone: Zip Code:
INSPECTION CONTACT (if different from applicant/operator above)
Individual's Name: E. PETER MATTHIES

-3-
Zip Code:
RESIDENT AGENT (Rule 2.03.4(1)(f))
Individual's Name: E. PETER MATTHIES

Company Name: NCIG FINANCIAL, INC.
Street: 7476 EAST ARKANSAS AVE., N0. 104
City: DENVER
State: COLORADO
Area Code: 303 Telephone: [phone] Zip Code: 80231
PARENT CORPORATION (if any)
Company Name: NOT APPLICABLE
Street:
City:
State:
Area Code: Telephone:
Company Ndme: NCIG FINANCIAL, INC.
Street: 7476 EAST ARKANSAS AVE
C1ty: DENVER
State: COLORADO
Area Code: 303 Telephone: [phone]
N0. ]04
Zip Code: 80231