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Form CP-111 June 2011 Form must be Typed Form must be signed KANSAS CORPORATION COMMISSION OIL GAS CONSERVATION DIVISION TEMPORARY ABANDONMENT WELL APPLICATION OPERATOR License API No. 15- Name Spot Description Address 1 - - - All blanks must be complete Sec. Twp. S. R. E W feet from N / S Line of Section City State Zip GPS Location Lat Long e.g. xx.
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