Form E

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

Osage Form E_Evidence to Execute Papers

Corporate lessees submit corporate information

OMB: 1076-0180

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Approved by the Secretary of the Interior March 20, 1952




OSAGE MINING LEASES


. C_O_N_T_RA_C_T_N_U_M_B_E_R


_,.J


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EVIDENCE OF AUTHORITY OF OFFICERS TO EXECUTE PAPERS

(To be sworn to by Secretary and President of a corporation and sealed with its seal.)



I solemnly swear that and


were on the day


of 20 , the duly elected, qualified and acting president and secretary, respectively, of


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a corporation organized under the laws of --,- _ on which day they executed

--------------mining lease for and in behalf of said corporation as lessee, covering certain lands of the Osage Tribe; that they were fully empowered to execute said _. lease and all papers in connection therewith, and that their action in executing the same binds the said 9orporation to full performance of all obligations thereunder.


This day of 20


(CORPORATE SEAL)


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President


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Secretary·




Subscribed and sworn to before me this day of ,20 .



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Notary Public


My commission expires: _

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