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' 12/06 2001 MAR 17110 FAZ a1B 692 2920 CAARIAABS POLYCDA <br />UO%12/2007 OD; IJ FAX eaoaD1D080 ~~ <br />Marble Quarry, 71x11 repair aOfRmem, pnDa 3 0!3 <br />MOOD <br />June 11, 20D7 <br />i <br />I <br />j <br />I <br />Signed this 11's day of June, 2007, j <br />~~r <br />Srcve Mclop•re erly A. Mcl ry <br />i <br />, <br />~R~1L $12~ <br />(Signature of Authoaed Qwrry ape seemtive) <br />IJTM ~Un1 ~. Q,oO~ ~ <br />(Date Siaoed) <br />I <br />~lbri-. ~"IZ'~ j <br />(Printed Name of Authorized Quury Repteremadve) <br />'..(~~ P...AI~ M Ptl.1'q (~E2. <br />(fide of Authorised Quatry Reprusennuve) <br />C(nDel~ ~.1E c~~6s I <br />(Company Name) ~ <br />~1 Ul~'~'a4.~. ~~s'~.~ M K~ . i 8l ~2~ ~ V 4~- <br />(Compooy Represenntivo Address) <br />(Company Represenotive Telephone Number) <br />Cc G. RmaeO Means <br />f nvvonmenral Ptotecdon SpeuaGar j <br />Colucada Division of Reclamation, Mioing snd Safety <br />V7A pAC57MILE: 970-241-1516 <br />®ODa(OOa <br />I <br />I <br />b•d 2Z06-OLOL6 sa{~.+Qnp auo ~ •~ --~-~--- ..-.-..--- <br />~S P ~o{oD LSr6 LOOZ ZI unC <br />b•d ZZO64OLOL6 sat~uenp auo~g ope.lo7o0 BbcB LOOZ OZ unC <br />