2N 9E E-07871-S2 SE 114 NE1/4 SW 1/4 28 12N 9E FOR OSE INTERNAL USE Change of Ownership. Form wr•02d Revised 126/11 File Number. Tm Number Trans Dmoription (optional): Sub-Basin: Page I of 2 EFTA00310927 5. ADDITIONAL STATEMENTS OR EXPLANATIONS ACKNOWLEDGEMENT FOR INDIVIDUAL I, We (name of owner(s