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UNITED STAT ESSS 2015)5FORM APPROVED OMB NO. 10040137 Expires: January 31.2018 5. Lease Serial No. DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENTNMNM122622SUNDRY NOTICES AND REPORTS ON WELLS

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Expires January 31 refers to the deadline by which certain documents or forms need to be submitted or renewed.

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