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ANNUAL FEE AND REQUEST FOR UPDATE OF INFORMATION <br />NOI NAME: Nighthawkk Mining & Minerals <br />NOI NO.: P- 2009 -010 <br />OPERATION NAME: Sara Rose <br />ANNIVERSARY DATE: October 19, 2011 <br />ANNUAL FEE DUE: $$86.00 (Due on or before your anniversary date) <br />COUNTY: Park <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: Kevin Lawrence <br />Explorer Name: Nighthawkk Mining & Minerals <br />Address: 127 Elm St. <br />Phone Number: <br />Fax Number: <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 />Leadville, CO 80461 <br />(719) 293 -0813 <br />M: \OSSVWD\ANNFEE \1ST LTRS., EC, 10 -111P- 2009- 010_F1.DOC <br />