do so. recs . 1' p (Confpany Name) Signature (Please sign as-name apps on lease) 49 -Z-0 rro leAmr4 I Woad (street Address or Box Number) t_ NM g7e,57, (City)State and Zip Sock) "par: Korea, k. Carden, 5/z51 pi. _Ai., This form to be filed with the original lease instrument in the State Land Off