2010-09-01_REPORT - P2008046

• Permit No: P2008046
• IBM Index Class Name: REPORT
• Doc Date: 9/1/2010
• Doc Name: Notice of Intent to Explore Annual Fee Invoice
• From: DRMS
• To: American Shale Oil, LLC
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

ANNUAL FEE AND REQUEST FOR UPDATE OF INFORMATION
NOI NAME:
NOI NO.:
OPERATION NAME:
ANNIVERSARY DATE:
ANNUAL FEE DUE:
COUNTY:
American Shale Oil, LLC
P-2008-046
AMSO RD&D Project-Phase 1
October 21, 2010
$86.00 (Due on or before your anniversary date)
Rio Blanco
On the anniversary date of the Notice of Intent (NOI), the operator must submit the annual fee.
Division records indicate the following NOI contact information. Please verify and make any necessary changes:
Explorer Contact:
Explorer Name:
Address:
Roger L. Day
American Shale Oil, LLC
110 E. 3rd Street, Suite 210
P O Box 1470
Rifle, CO 81650
Phone Number: [phone]
Fax Number: [phone]
If you have additional comments and/or information that should be provided to the Division, please provide it
below or attach it to this form. We thank you for your attention to this matter.
Signature of Corporate Officer, Owner, or Designee
Date
M:\OSS\NMI\ANNFEE\LETTERl OCT-2010-P\P-2008-046 F1.DOC