2012-09-20_PERMIT FILE - C1981022 ‎(2)‎

• Permit No: C1981022
• IBM Index Class Name: Permit File
• Doc Date: 9/20/2012
• Section_Exhibit Name: Exhibit 2.03-E1 Ownership and Right of Entry Documentation
• Media Type: D
• Archive: No

77any o or Name)
By )
(Signs f Lessee)
(Tide)
(Date)
THE UNITED STATES OF AMERICA
Deputy State Director. Division of Energy. Lands and Minerals
(Title)
10,E 31 clo1Z
(bate)
Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United
States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.