Laserfiche WebLink
ANNUAL FEE AND REQUEST FOR UPDATE OF INFORMATION <br />NOI NAME: American Shale Oil, LLC <br />NOI NO.: P- 2008 -046 <br />OPERATION NAME: AMSO RD &D Project -Phase 1 <br />ANNIVERSARY DATE: October 21, 2011 <br />ANNUAL FEE DUE: $86.00 (Due on or before your anniversary date) <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: (970) 625 -4318 <br />If you have additional continents 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: \OSS\MR1 \ANNFEE\LETTERI OCT- 2011 -P\P- 2008 -046 F1.DOC <br />