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ANNUAL FEE AND REQUEST FOR UPDATE OF INFORMATION <br />NOI NAME: <br />NOI NO.: <br />OPERATOR NAME: <br />ANNIVERSARY DATE <br />ANNUAL FEE DUE: <br />CK61f121111•ii <br />Rio Grande Silver, Inc. <br />P- 2010 -015 <br />West Equity Project <br />June 25, 2013 <br />$86.00 (Due on or before your anniversary date) <br />Mineral <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 <br />changes: <br />Explorer Contact: <br />Explorer Name <br />Address <br />Phone Number: <br />Fax Number: <br />Randy McCLURE <br />Rio Grande Silver, Inc. <br />P.O. Box 610/112 E. 12`" Street <br />Creede, CO 81130 <br />(719) 658 -1080 <br />(719) 658 -1082 <br />PO Box 610/625 USFS Road 504.1 A <br />If you have additional comments and/or information that should be provided to the Division, please <br />provide it below or attach it to this form. We thank you for your attention to this matter. <br />Ads, M'(L*%A <br />Signature of C rporate Officer, Owner, or Designee <br />� -Al buo <br />Date <br />