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?, 77 <br /> WELL LOG <br /> 1 <br /> known) How Drilled__ <br /> .q <br /> FiloM TO REMARKS � u c <br /> FEET FEET I TYPE OF MATERIAL (such as Cementing, m.m E o c q <br /> Packing, Shut off, etc.) n a`, <br /> U.N <br /> _• C�tS]lei C� <br /> ---------- ---------- - --- <br /> I <br /> - ------ ---------- --------------- ----- ------------ <br /> i <br /> ----- ---- -- <br /> I <br /> ----- <br /> (IF more space is required use additional sheet) <br /> WELL DIULLER'S STATEMENT <br /> this well v✓ ,> drilled under my supervision and the above information is true and correct to the best of my <br /> knowledge and belief. 15/� <br /> By- — ---- <br /> t l� <br /> Dated_�l,_+ _�`.� `s-------, 19-1-- <br /> f <br />