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L!' <br />II~IDIANA DEPAR~Nf ~' NAT[IItAL RE50IIItCF.S <br />DIVISIQi OF RB~TION <br />PERMIT NJ. 5-00195-1 <br /> <br />APPLICATIQi Fat A SI>EtFACE Ci~L MINI( PERMIT F r 3 ;; ' I ~ ~ ~ <br />I. Legal, Financial, Compliance and Related I<sformetirn <br />. ~. <br />.. ._. .~~.. .' I'J.. <br />A. Business Informatirn <br />(1) Applicant's Name Peabody Coal Conpany - universal Masse <br />(2) Pe.-masent Address <br />Peabody Coal CasPanY <br />Qne R verfrrnt Place <br />20 Nor st F rst Street <br />Box 1112, Evansville, Indiana 47706 <br />Telephone #:(812) 425-3738 <br />(3) Mine Address <br />universal, Indiana 47884 <br />Telephone #:8 -832-3594 <br />(4) If correspondence regarding this application is bo be scent bo an address <br />other Chas those listed above, give name, tit]e and address of individual <br />to receive correspondences <br />!lace Jce M. 811iaTitle Manager, Savirossaeatal Peraita-IN <br />Address PBABODY COAL COMPANY, 20 Y. W. First St. Evansville,IN 47706 <br />(5) Name, address and telephase # of the resident agent of the applicant wbo <br />will accept service of prooesss <br />Name C. T. atios txsa i+eleptnane # 317 632-1348 <br />Address Mer is Bask g, Andiasapolis, Dn ana <br />(6) Business Structure <br /> <br />Type of Business (check me) <br />X Corpocatim Partnership Sole Pcopcietorehip Associatirn <br />_ Other -specify <br />(7) Attach certified Dopy of Articles of Itsoorporatirn, or Partnership <br />Agreement, whichever is appcapriabe. Attachment <br /> <br />See I.A.7. (1) Enclosed <br />I-1 <br />