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Reform APPROVED
OMB No. 10040136Form 31603
(August 1999)Expires November 30, 2000UNITED STATES
DEPARTMENT OF THE INTERIOR5. Lease Serial No.UTU0119lABUREAUOFLANDMANAGEMENTFOR PERMIT Drilling OR REENTERAPPLICATIONf
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utu-0119l-a is a specific tax form used for reporting certain financial information to the tax authorities.
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