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<br />I~ • <br />I~• <br />Date of Service__ nu gust 7,__~ Iq_81 <br />Parson S9rvar] Vance Mi115 <br />___________________ _________ <br />(Please print Wane and title) <br />`^I."lE~ LAND 2E~ c,HUTI~"+ 71'1151DN <br />~ ~ ~ <br />3v-- --~- ~-S"'i~~------ <br />{au<norized refire 5,~tati va) <br />Sianat~re Michael S. Savage, Reclamation Specialist <br />,~ofSdn Serv2d) `Jdme and title lease print <br />I~`+'0%tiavT: aLEaSE 4EQD 7HE 4EvE4SE SIDE OF iHlS PaGE. <br />10/79 C.a.S. 1973, 34-33-123 <br />IVJ -_ ~"SY~ <br />