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f?y,\vtdq qc e <br />ANNUAL FEE AND REQUEST FOR UPDATE OF INFORMATION <br />/ <br />NOI NAME: ? American Shale Oil, LLC <br />NOI NO.: / P-2008-046 E CE VVED <br />OPERATION NAME: ? AMSO RD&D Project-Phase 1 SEP 13 2010 <br />ANNIVERSARY DATE: October 21, 2010 .J ®i"is4on (A nLL?a?l 0 <br />ANNUAL FEE DUE: $86.00 (Due on or before your anniversary date) leg and 5tj <br />COUNTY: Rio Blanco <br />On the anniversary date of the Notice of Intent (NOI), the operator must submit the annual fee. <br />Division records indicate the following NOI contact information. Please verify and make any necessary changes: <br />Explorer Contact: Roger L. Day <br />Explorer Name: American Shale Oil, LLC <br />Address: 110 E. 3rd Street, Suite 210 <br />P O Box 1470 <br />Rifle, CO 81650 <br />Phone Number: (970) 625-4324 <br />Fax Number: W <br />(1770) L2-Y- a3 /'? <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form. We thank you for your attention to this matter. <br />Signa of Corporate Officer, Owner, or Designee <br />Y Zo?? <br />Date <br />M:\OSS\MRl\ANNFEE\LETTERI OCT-2010-P\P-2008-046 F1.DOC