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Attachment B <br /> AML CONTRACTOR <br /> OWNERSHIP AND CONTROL 7DATACIFICATION <br /> 1` <br /> Company Name : cLVGL 61'f f1/ Phone: '7o - L - <br /> Address: �3 o -q,3 /1 tovi /Rit D oo fa Yew . c�a s /3 � <br /> Subcontractor Name: A/o/f/ Phone <br /> Address: <br /> CERTIFICATION OF EXISTING DATA: <br /> I, GCt�Yz/Y,,. (, 2 C&Y44- , being duly authorized, do hereby <br /> certify that no changes have occurred in the existing ownership and <br /> control data (attach printouts) listed in the Federal Office of <br /> Surface Mining, Applicant/Violator System for the contractor <br /> company, and the subcontractor company, <br /> 1pay 10 <br /> Sign ure Title Date <br /> NOTIFICATION OF OWNERSHIP AND CONTROL DATA CHANGES: <br /> The ownership and control data currently in the Federal Office of <br /> Surface Mining, Applicant/Violator System needs to be amended in <br /> the following ways: <br /> Addition of information related to officers, directors, <br /> shareholders or any other entity who owns or controls the <br /> contractor as defined in 30 CFR 773 .5 : <br /> Name Title <br /> Address <br /> Begin date End Date (attach documentation) <br />