NWPA-830 Annex B to Appendix G

NWPA-830G

Form Approved
OMB No. 1901-0260

(Revised 05/06)

Standard

ANNEX B
to
Remittance Advice for Payment of Fees

. Please read all instructions before completingform.
. Complete a separate Annex Bform for each reactor

. SubmitAnnexB with
1.0 Identification

FIRST Standard

Remittance Advice ONLY

Information
1.5 Contract Identification Number

1.1 Purchaser Information
(a) Name(b) Address

(c) ID number

1.6 Date of this submission

Day

DO

I

MO,nth

Year

I

1.2 Contact Person
(a) Name(b) Telephone (Include area code)
1.3 Reactor/Facility
1.4 Reactor ID
2.0 Discharged

Name

DO

Nuclear Fuel Fee Calculation
,)\

2.1 Initial Loading (kgU)
2.2 Fee Rate ($/kg)
2.3 Fee (dollars) (2.1 *2.2)

2.4 Total Fee for Discharged
3.0 In-Core or Temporarily

more than

0-5000

5000-'0000

1,,\

Ibl

I,,)

80.00

142.00

162.00

Nuclear. Fuel (dollars)

'0000-20000

20000

ltil

184.00

$

Removed Fuel

3.1 Enter Total Fee for In-Core or Temporarily Removed Fuel (dollars)
4.0 Total Fee Due

$

4.1 Enter The Principal Due for SNF Burned Before Midnight Between April 6/7, 1983 (dollars)
(Sum of 2.4 and 3.1)
$.
4.2 Enter The Interest Due for SNF Burned Before Midnight Between April 6/7, 1983 (dollars) $
4.3 Total Spent Nuclear Fuel Fee Due For This Reactor (Sum of 4.1 and 4.2)
$
5.0 Burnup Methodology

Calculation

5.1 Computer Code Used
(a) Name (b) Version
5.2 Documentation. Provide as an Attachment
6.0 Supporting

Data on Nuclear Fuel Assemblies

Please provide the following seven fields of informationfor each fuel assemblywhich were owned by the

Purchaser as of midnightbetweenApril6/7, 1983,and which had been irradiatedby that date: utilityID,
reactor ID, assembly ID, status code, loading, burnup, and fee. (See Section 6.0 of Instructions)

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