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S 'ATE OF OHIO API WELL NUMBER DEPARTMENT OF NATURAL RESOURCES DIVISION OF OIL AND GAS OIL AND GAS WELL DRILLING PERMIT 3 059 4 31. Jr PERMIT FORM 51: REVISED 2/85 OWNER/OPERATOR NAME, ADDRESS: DATE
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059 44718 b402b 6404 is a form used for reporting certain information to the IRS.
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