List of Corporate Officers Form

Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Osage_List of Corporate Officers

Corporate lessees submit corporate information

OMB: 1076-0180

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Date




Superintendent Osage Agency

P. O. Box 1539 Pawhuska, OK 74056


Dear Superintendent:


The current listing of Officers and Directors of the


(Corporation), of


, is as follows:


OFFICERS

ADDRESSES

President

Vice President

Secretary

Treasurer



DIRECTORS

ADDRESSES










Respectfully,










Updated March 9, 2017

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AuthorCanady, Cammi
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