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15736533.7 MB OPERATING, INC. State of Ohio Department of Natural Resources Division of Oil and Gas Form 101: Rev. 1117 3 4 1 * * 1 4 RPA)RJ SHEET r APPLICANT (IR)(2 '4 OHIO DIVISION OF OIL AND GAS

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6. Make sure to include any additional information or disclosures required by the form or relevant regulatory authorities.

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