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2023-07-05_REVISION - P2021019
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2023-07-05_REVISION - P2021019
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Entry Properties
Last modified
7/6/2023 8:34:38 PM
Creation date
7/6/2023 10:43:34 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2021019
IBM Index Class Name
Revision
Doc Date
7/5/2023
Doc Name
Request For Modification
From
EAI
To
DRMS
Type & Sequence
MD1
Email Name
TC1
MAC
AWA
Media Type
D
Archive
No
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I the undersigned being the N01 holder or the person authorized to sign on behalf of the NOI <br /> holder declare that the information given in this NOI form is true and correct. <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this ZBZ';� day of Zo2-3 <br /> (date) onth) (year) <br /> Signature of NOI holder or person authorized to sign: :? ; t Ao— 5t&,wrL <br /> Name (typed or printed): Timothy R. Brown <br /> Title/Position: U.S. Country Manager <br /> M:\min\oss\slb\MineraisForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />
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