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<br />-2- <br />Hole No. I Township <br />&5t,D7c6 7S <br />Quarter <br />Range Section Section Elevation <br />? 0 -z&J 'j SE /Nw Co U S$ <br />W. <br />Signature of Authori d Representative <br />Title <br />Hole Hole Type of <br />Depth Diameter Cement/ <br />(Feet) (Inches) Sealant <br /> T el <br />i2-%d 3.83,E 4?614. <br />7? <br />- 7 aoo <br />Date <br />8193