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gCou sal Or Water Lease <br />Name AL, <br />Addrass r I d 5- <br />City Qe ev r , 4o state eo - Zip S_.?U_ r/_ <br />'T'elephone .------ <br />Quantify of Water Requested: _ ? C sere-feet <br />proposed Unit Prue:. S (d C..'-'`- per acre-foot <br />Total Price: <br />Proposed Delivery Scnedma <br /> antitY in acre-feet Location of delivery and t e of ttse <br />f e_brua /iN/ S r,.... IC, . <br />A? t <br />April 1-15 <br />1 <br />w <br />Apt?` 16-30 ? <br />May <br />3unc j <br />rule Q <br />4tt9U <br />September ` <br />October <br />i ? <br />?vpvember <br />P Dmein6eT. <br />. - <br />i ' <br />By. <br />(signature of authori2ed agent) <br />,l y 13 /er- A k_ <br />(printed ame) <br />Date: A - 0 -- i? <br />(title, if applicable)