2010-10-01_REPORT - P2007069

• Permit No: P2007069
• IBM Index Class Name: REPORT
• Doc Date: 10/1/2010
• Doc Name: 1st Letter
• From: DRMS
• To: COAG Corp.
• 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:
COAG Corporation
P-2007-069
Franklin and Freighter's Friend Shafts
November 14, 2010
$$86.00 (Due on or before your anniversary date)
Clear Creek
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: Reiny Zimbelman
Explorer Name: COAG Corporation
Address: 200 South Wilcox Street
P.O. Box 402
Castle Rock, CO 80104
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
MAOSSUWD ANNFEEUST URS, EC, 11-10\P-2007-069_F1.DOC