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ANNUAL FEE AND REQUEST FOR UPDATE OF INFORMATION <br />NOI NAME: Black Range Minerals <br />NOI NO.: P- 2009 -025 <br />OPERATION NAME: Hansen Uranium Project <br />ANNIVERSARY DATE: October 7, 2011 <br />ANNUAL FEE DUE: $$86.00 (Due on or before your anniversary date) <br />COUNTY: Fremont <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: Ben Vallerine <br />Explorer Name: Black Range Minerals <br />Address: 110 N. Rubey Drive, Suite 201 <br />Golden, CO 80403 <br />Phone Number: (303) 279 -4946 <br />Fax Number: (303) 279 -4934 <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 />Signature of Corporate Officer, Owner, or Designee <br />Date <br />M: \OSSVWD\ANNFEE \1ST LTRS., EC, 10 -11\P- 2009 -025 Fl.DOC <br />