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u <br />Jatz of Service_Auqust 7_--_~ 1q-81 at"IE9 ~ayJ RECLo!+~TIOV JIV[SIJN <br />a <br />~ i <br />person S?rv_q Vance Mills ___-__ gy-__~~ __-_- J~/GQt______ <br />--------------- s-~ <br />(authOriZetl repre5gr(td tiv?) <br />(712d5e 7rint name dntl LI t12) I~ <br />$i0n3ture ~ Michael S. Savage, Reclamation Specialist <br />(?erson servzd) (`laTe and title - please print} ~ <br />1N~OkTCVT: ?LEASE 4EnD THE REvERSc SIDE OF THIS PeG"c. <br />10/79 C.~.S• 1973, 34-33-123 <br />• <br />• <br />)na <br />