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ADAMS COUNTY, NE
INST. NO f~ ~ Q 15214
Date I I~Time 1 !~rn
TER OF DEEDS
200"15214
STATE OF NEBRASKA
OIL AND GAS CONSERVATION COMMISSION
PO BOX 399
SIDNEY, NEBRASKA 69162-0399
(308) 254-6919
Fax (308) 254-6922
h ttp ://www. n og cc. n e. g ov
STATE OF NEBRASKA )
ss.
COUNTY OF CHEYENNE )
JAMES R. GOHL
COMMISSIONER
REED GILMORE
COMMISSIONER
THOMAS M. SONNTAG
COMMISSIONER
WILLIAM H. SYDOW
DIRECTOR
A F F I D A V.I T
Affiant, being first duly sworn upon oath, deposes and states that he
is the Director of the Nebraska Oil and Gas Conservation Commission,
and hereby certifies that, in said capacity, he has reviewed and
examined the records of the Nebraska Oil and Gas Conservation
Commission as they relate to the following-described lands:
T. 7 N., R. 12 W., Adams County, Nebraska
Section 33: All
Affiant further states that there has been no production on the above-
described lands.
Affiant•;;f;urt~h~er:._'`states that there are no approved drilling permits
part of the above-described lands.
t
Furt'her;~A~,f~,a1}Ity~~sayeth not.
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e
Willli,~mrf-I; F`,r~Sydow, ^^"Di
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:; ,y~, y.. , ..
Subscrib~edFin'.my presence and sworn to before me this ~~ day of
November.. 2 0 0.7-.-. .
GENEAI~NOTARY.6tate of Nebraska
eoru-M. sRUNs
blq Comm. .Jane 18, 2011
Notary Public
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