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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 a O L O o N of <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAF ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-2018-036 <br /> Operation Name: Ten Percenter Claim <br /> Permittee Information <br /> Contact Person: Charles Sulfrian <br /> Company Name: ZyMin Corporation <br /> Street Address: 2906 Marilyn Road <br /> city: Colorado Springs <br /> State: Colorado Zip: 80909-1044 <br /> Phone: 719 634-23841 (719) 648-8170 (mobile) <br /> Email (optional): cs@nyaul .com <br /> Prospective Successor Information <br /> Contact Person: Robert H Jennings <br /> Company Name: Mineral Adventures LLC <br /> Street Address: 5655 Riggins Court Suite 15 <br /> City: Reno <br /> State: NV Zip: 89502 <br /> Phone: ( 907 )570-8983 <br /> Email (optional): bjenningsl959@gmail.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />