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API Well No: API Well No: 43047506890000 43047506890000Received 8/24/2009 Received: 8/24/2009IORM 3 3 FORMSTATE OF OF UTAH UTAH STATE DEPARTMENT DEPARTMENT OF NATURAL NATURAL RESOURCES RESOURCES DIVISION OF OIL, OIL, GAS GAS AND MINING MINING DIVISION1. WELL WELL NAME NAME and anUdteNUriMa1R3251419 1. NUMBER Ute Tribal 13251419APPLICATION FOR PERMIT PERMIT TO TO DRILL DRILL APPLICATION FOR 2. TYPE OF WORK WORK 2. TYPE OF DRILL NEW WELLP&A WELL REENTER P&AAMENDED REPORT REPORT3

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