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1,, )1 e, a <br />NOI NAME: <br />NOI NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />c . <br />,/ <br />ANNUAL FEE A D REQUESTIFOR UPDATE OF INFORMATION <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: Mickey E. Fouts <br />Explorer Name: COAG Corporation <br />Address: 200 South Wilcox Street <br />P.O. Box 402 <br />Castle Rock, CO 80104 <br />Phone Number: (303) 814 -8251 <br />der. (303) 814 -0222 <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 />Date <br />Signat e of Corporate Officer, Owner, or Designee <br />c r .30, zo // <br />M: \OSSVWD\ANNFEE \1ST LTRS. EC, 11 -11\P- 2007- 069_F1.DOC <br />��COAG Corporation <br />4-2007-069 <br />Franklin Franklin and Freighter's Friend Shafts <br />November 14, 2011 <br />$$86.00 (Due on or before your anniversary date) <br />Clear Creek <br />RECE <br />IV ED <br />��Ot 0 1 2011 <br />n of Rec► amatbn, <br />04.fi r0& att. : 8/b -292 <br />NO ,*42i FMK <br />