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' M 1 <br /> �Q <br /> ✓5c BOOK <br /> S T A T U S <br /> Completed Producing_„_____ — <br /> Recompleted Producing_______ <br /> Cemplel <br /> Uncompet d Abandoned <br /> Idle � <br /> I <br /> RE CORD eNeeded <br /> gived <br /> ✓ Well Summary_,. <br /> History <br /> ..'.."""' Log & Core <br /> ,gegn Elec Logs Lge Sm <br /> ._.. <br /> Direct.survey__, <br /> yQcation---40—" <br /> ENGINES du 1 ✓ <br /> Uevation — 1. Log, history &fie record ( p ) -- <br /> felease bond 2, Electric log <br /> Hold bond Reason 3, Operator name & well designation <br /> rinal. let�r Location ✓ <br /> 150b 5. Elevation ..Ow� <br /> 170 6. Signature <br /> 121 _- 7. Notices__ aG— <br /> Cas� g. ++T" reports_ <br /> 9. Casing record_ <br /> (d '77�' ,Z d 0 / ! 10. Plugs ✓ <br /> 11. Production <br /> 12. Wildcat cards <br /> 13. Map and Book --'' <br /> A . Surface Ins t� THE FOLLOW <br /> APPROVED_,______ <br /> ING REASON <br /> Form 19 <br />