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KOLAR Document ID: 1846721K ANSAS CORPORATION COMMISSIONForm T1 April 2019 Form must be Typed Form must be Signed All blanks must be FilledOIL & GAS CONSERVATION DIVISION REQUEST FOR CHANGE OF OPERATOR

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Information that must be reported on kolar document id 1846721 typically includes names, addresses, nature of the transaction, dates, and any other relevant identification or transaction details required by the issuing authority.

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