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James B Rooney Assessor of Amador County EF-566-K-R09-0515-03000038-1 BOE-566-K (P1) REV. 09 (05-15) 810 Court Street Jackson, CA 95642 PH: (209) 223-6351 FAX: (209) 223-6721 OIL AND GAS OPERATING
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