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KOLAR Document ID: 1768868K 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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Kolar document id 1768868 is a specific identification number assigned to a document required for administrative or regulatory purposes in the Kolar region.

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