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: -- o 0 <br />.~ <br />-4- <br />ADDITIONAL INFORMATION <br />This space can be referenced for further information of any of the items in this form. <br />To the best of my knowledge, all the information presented in this application is true <br />and correct. <br />Date: ~~ovember 14 , 1985 <br />By: 1~~~~~~ y.~ <br />L. Scott Hendricks <br />V_ce President <br />it e <br />(Signature by individual legally authorized to <br />bind the operator to this application) <br />(Rev. 4/84) <br />Doc. No. 5547 <br />