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CONTACT INFORMATION FORM /YI- J ASV- 12 2-"-- <br />Each Owner/Operator will be allowed one Primary Correspondence Contact who will receive all correspondence from <br />OPS. Please provide any corrections or additions to the contact information listed below. If all contact information is <br />correct, please signify by placing a checkmark in the appropriate box below. <br />Owner Contact Information <br />.,/ 'Ot- <br />Primarv Correspondence Contact Information <br />MITCHEL LITTLE OID#:21126 <br />CONNELL RESOURCES INC <br />7785 HIGHLAND MEADOWS STE 100 <br />FORT COLLINS CO 80528 <br />Phone: 970-223-3151 Fax: 970-223-3191 <br />Email: <br />TRACEY ANDERSON <br />CONNELL RESOURCES INC <br />7785 HIGHLAND MEADOWS STE 100 <br />FORT COLLINS CO 80528 <br />Phone: 970-223-3151 Fax: 970-223-3191 <br />Email: tanderson@connellresources.com <br />Check here if contact information is correct <br />Check here if contact information is correct <br />rC' <br />El 1ZSj <br />Contact Name: K1 ,0,krc-rd ((10nIA Contact Name:_ <br />'Business Name:_ ?dli) t'I ltC'.S (f e S jnC_ Business Name: <br />Address: -7 786,,t trQ??QY?Q? t°Y?QJQa)S P'4t Address: <br />City, State, Zip: E& C0 8'050 8 City, State, Zip:_ <br />Phone: VO Ro7J - %3 1,T/ Fax: C/70 22-3 3/'71 Phone: <br />EMail: EM <br />ax: <br />OID: 21126 CONNELL RESOURCES INC, Annual Compliance Package, December 30, 2010 Page 2