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-2- <br />IL ADMINISTRATIVE INFORMATION <br />1. Permit Number: <br />2. Operation Name: <br />3. Current Permitted Operator <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />4. Successor Operator <br />Contact Person: <br />Company Name: <br />Street: <br />Cit <br />State: <br />Area Code: <br />IRS Tax ID No. or Social Security No.: <br />M 1983 -141 <br />Cash & Who Do Mines <br />Richard T. Heard <br />Mount Royale Ventures, LLC <br />837 W. Hastings St. - Suite 308 <br />Vancouver, British Columbia <br />CANADA zip code: V6C 3N6 <br />(604) Telephone: 632-0085 <br />Mark T. Nesbitt <br />AGC Resources,,LLC 11w <br />1580 Lincoln St. - Suite 700 <br />Denver <br />Colorado zip code: 80203 -1557 <br />(303) Telephone: 302 -3097 <br />EIN 27- 2850313 <br />5. Application Fee $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety <br />