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09/11/2013 Effective Date: SGA? $ Yes Form C1 March 2010 OIL & GAS CONSERVATION DIVISION 1 District # 1154547 KANSAS CORPORATION COMMISSION For KCC Use: Form must be Typed Form must be Signed All

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Rattlesnake North is a form or report used to document and report information related to a specific area known as Rattlesnake North.

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Information such as location details, activities conducted in the area, compliance status, and any relevant data required by regulations must be reported on Rattlesnake North.