2011-01-13_GENERAL DOCUMENTS - M2006084

• Permit No: M2006084
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 1/13/2011
• Doc Name: Contact Info.
• From: Connell
• To: DRMS
• Permit Index Doc Type: Gen. Correspondence
• Media Type: D
• Archive: No

CONTACT INFORMATION FORM
Each Owner/Operator will be allowed one Primary Correspondence Contact who will receive all correspondence from
OPS. Please provide any corrections or additions to the contact information listed below. If all contact information is
correct, please signify by placing a checkmark in the appropriate box below.
Owner Contact Information
V-./,
Primarv Corresoondence Contact Information
MITCHEL LITTLE OID#:21126
CONNELL RESOURCES INC
7785 HIGHLAND MEADOWS STE 100
FORT COLLINS CO 80528
Phone: [phone] Fax: [phone]
Email:
Check here if contact information is correct El
Contact Name: /Kph C (/tC ?''?..;? O nJ3 P
usiness Name: (, Din r1 t' 1, 1 Ite (!pz'S-
Address: -7 78Jr,,AQA/ajid 64j°.L7Cjd )s
City, State, Zip: F'L0' ( 0 8,060 6
Phone: `770 X?3 -3151 Fax: ?70,2;2-3-31'71
EMail
TRACEY ANDERSON
CONNELL RESOURCES INC
7785 HIGHLAND MEADOWS STE 100
FORT COLLINS CO 80528
Phone: [phone] Fax: [phone]
Email: [e-mail]
Check here if contact information is correct 4%j-
Contact Name:
Business Name:
Address:
City, State, Zip:_
Phone:
EMail:

OID: 21126 CONNELL RESOURCES INC, Annual Compliance Package, December 30, 2010 Page 2