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10/26/2014 Effective Date: SGA? Yes Form C1 March 2010 OIL & GAS CONSERVATION DIVISION 3 District # 1228701 KANSAS CORPORATION COMMISSION For KCC Use: $ No Form must be Typed Form must be Signed All
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Start by writing the first name. In this case, the first name is "Buck."
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Follow the first name with the middle name. In this case, the middle name is "Paul."
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Finally, write the last name. In this case, the last name is "Jordan."

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