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?' le, <br />ANNUAL AND REQUEST FOR DATE OF INFORMATION <br />RECEIVED <br />NOI NAME: CP9wertech (USA) Inc. <br />� AOn2 <br />NOI NO.: 4 -2008 -043 <br />OPERATION NAME: Centennial Uranium Project 'T� �,pivision of Be l am ty <br />A DATE: August 27, 2011 "'lining <br />ANNUAL FEE DUE: $$86.00 (Due on or before your anniversary date) <br />COUNTY: Weld <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: Richard Blubaugh <br />Explorer Name: Powertech (USA) Inc._ _ <br />Address: 5575 DTC Pkwy, Suite 140 <br />Phone Number: <br />Fax Number: <br />Greenwood Village, CO 80111 <br />(303) 790 -7528 <br />(303) 790 -3885 <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 Offi ; Owner, or Designee <br />Date <br />M: \OSS\JWD\ANNFEE \1ST LTRS., EC, 8 -11\P- 2008- 043_FLDOC <br />A/C,' <br />