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Phone Number: <br />Fax Number: <br />Signature of Corporate <br />/L /7 9 /' <br />Date <br />ANNUAL FEE AND REQUEST FOR UPDATE OF INFORMATION <br />NOI NAME: Lynx -Royal JV LLC <br />NOI NO.: P- 2010 -022 <br />OPERATION NAME: EG -PR1 <br />ANNIVERSARY DATE: December 28, 2011 <br />ANNUAL FEE DUE: $86.00 (Due qn or before your anniversary date) <br />COUNTY: Dolores -/ <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: Michael G. Leidich <br />Explorer Name: Lynx- Royal JV LLC <br />Address: 813 14th Street, Suite A <br />Golden, CO 80401 <br />(303) 955 -5820 <br />(303) 862 -5900 <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 />fficer, Owner, or Designee <br />M: \OSS\MR1\ANNFEE\LETTER1 10- 19- 2011\P- 2010 -022 F1.DOC <br />2011 <br />