before and...870 bonham rd bristol va 24201-2002 s. 30nlcs type k certified mall o express mail cl...

19
BEFORE THE VIRGINIA GAS AND OIL BOARD PETITIONER: CNX Gas Company LLC DIVISION OF GAS AND OIL DOCKET NO: VGOB 98-0324-0634-01 RELIEF SOUGHT: (1) DISBURSEMENT FROM ESCROW REGARDING TRACT(S) 1, 1D (2) AND AUTHORIZATION FOR DIRECT PAYMENT OF ROYALTIES HEARING DATE: December 15, 2015 DRILLING UNIT: Z38 BUCHANAN COUNTY, VIRGINIA PETITION FOR ORDER OF DISBURSEMENT OF ESCROW FUNDS 1. Petitioner and its counsel Petitioner is CNX Gas Company LLC, 627 Claypool Hill Mall Road, Cedar Bluff, VA 24609, (276) 596-5075. Petitioner's counsel is Mark A. Swartz, Hillard & Swartz, LLP, 122 Capital Street, Suite 201, Charleston, WV 25301. 2. Relief Sought (1) the disbursement of escrowed funds heretofore deposited with the Board's Escrow Agent, attributable to Tracts 1 8 1D, as depicted upon the annexed table; and (2) authorization to begin paying royalties directly to the following parties; Doris Betty Addison & Elmer Lee Burke. 3. Legal Authority Va. Code Ann. () 45.1-361.1et seq., 4 VAC 25-160-140., and relevant Virginia Gas and Oil Board Orders (" Board" ) heretofore promulgated pursuant to law. 4. Type of Well(s) Coalbed Methane 5. Factual basis for relief requested : (1) the disbursement of escrowed funds heretofore deposited with the Board's Escrow Agent(s) attributable to Tract(s) 1 & 1D as depicted upon the annexed Table; and (2) authorization to begin paying royalties directly to the following parties; Doris Betty Addison & Elmer Lee Burke 6. Attestation The foregoing Petition to the best of my knowledge, information, and belief is true and correct. Page Number 1.

Upload: others

Post on 24-Mar-2021

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

BEFORE THE VIRGINIA GAS AND OIL BOARD

PETITIONER: CNX Gas Company LLC DIVISION OF GAS AND OIL

DOCKET NO: VGOB 98-0324-0634-01

RELIEF SOUGHT: (1) DISBURSEMENT FROM ESCROW REGARDING TRACT(S) 1, 1D (2) ANDAUTHORIZATION FOR DIRECT PAYMENT OF ROYALTIES

HEARING DATE: December 15, 2015

DRILLING UNIT: Z38

BUCHANAN COUNTY, VIRGINIA

PETITION FOR ORDER OF DISBURSEMENT OF ESCROW FUNDS

1.Petitioner and its counsel

Petitioner is CNX Gas Company LLC, 627 Claypool Hill Mall Road, Cedar Bluff, VA 24609, (276)596-5075. Petitioner's counsel is Mark A. Swartz, Hillard & Swartz, LLP, 122 Capital Street, Suite201, Charleston, WV 25301.

2. Relief Sought

(1) the disbursement of escrowed funds heretofore deposited with the Board's Escrow Agent,attributable to Tracts 1 8 1D, as depicted upon the annexed table; and (2) authorization to beginpaying royalties directly to the following parties; Doris Betty Addison & Elmer Lee Burke.

3. Legal Authority

Va. Code Ann. () 45.1-361.1et seq., 4 VAC 25-160-140., and relevant Virginia Gas and OilBoard Orders ("Board" ) heretofore promulgated pursuant to law.

4. Type of Well(s)

Coalbed Methane

5. Factual basis for relief requested

: (1) the disbursement of escrowed funds heretofore deposited with the Board's Escrow Agent(s)attributable to Tract(s) 1 & 1D as depicted upon the annexed Table; and (2) authorization to beginpaying royalties directly to the following parties; Doris Betty Addison & Elmer Lee Burke

6. Attestation

The foregoing Petition to the best of my knowledge, information, and belief is true and correct.

Page Number 1.

Page 2: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

TRACT LAND HOOK

I2 TRACT LAND ID'5

EXHIBIT A

OAKWOOD FIELD UNIT Z-38FORCE POOLING

VGO8-98-0324-0634

Form DGO-GO-Isev. 9/91

Pocanontos Gas Por~ersnio Wel I Name and Nueber UNIT 238Conpany

Duadrangle Keen MauntalnTf act Na ElevatlanI' 400'te 2/4/9Bcounty Buchanan Distr'.ct Garden scale: I = 0 oete

This plat is a new plat y : an updated plat or a final plat .

u/M M. A.~~ — " .'Aff ix Seal J

L:censec Professional Engineer cr licensed Land Surveyor:

Page Number 2.

Page 3: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

XCCASGHTAS GAS PARTHERSEZPUNIT I-38

TraCC ZdentifiCatiOnS

Commonwealth Coal Co. T 3 - Coalconsolrdation Coal Co. - Below drainage coal LeasedUnited Coal Company - Above drainage coal LeasedPocahontas Gas Partnership - CBN LesseeBetty Addison - Surface, Oil 4 Gas12.80 acres 18.0000%

Commonwealth Coal Co. T 3 — CoalConsolidation Coal Co. - Below drainage coal LeasedUnrtsd Coal Company - Above drarnage coal Leased?ocahontas Gas Partnersh p — CBN LesseeCurt's Wade - Sur ace, Qrl 4 Gas20.98 acres 26.22503

1C. Commonwealth Coal Co. Tr 3 - CoalConsolidation Coal Co. - Below drainage coal LeasedUnited Coal Company — Above drainage coal LeasedPocahontas Gas Partnership - CBN LesseeGerald shortt - Surface, Oil 4 Gas0.28 acres 0.35004

Commonwealth Coal Co. Tr 3 - CoalConsolidation Coal Co. - Below drainage coal LeasedUnited Coal Company - Above drainage coal LeasedPocahontas Gas Partnership - CSN LesseeElmer Burke - surface, Oil 4 Gas1.42 acres 1,77504

Commonwealth Coal Co. Tr 2 - PeeConsolidation Coal Co. - Below drainage coal LeasedUnited Coal Company - Above drarnage coal Leasedconsolidation coal co. - oil 4 Gas LesseePocahontas Gas Partnership - CSN Lessee0.10 acres 0.1250%

Cosssonwealth Coal Co. Tr 4 - Coal, Oil 4 GasConsolidation Coal Co. - Below drainage coal LeasedUnited Coal Company - Above drainage coal LBasedConsolidation Coal Co. - Oil 4 Gas LesseePocahontas Gas Partnership - CSN Lessee3.70 acres 4. 8250%

3A.3B.3C.

VDOT surfacePeggy Lane - SurfaceWarold Altirer - Surface (30'/W)

Page 1

Page Number 3.

Page 4: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

Cossaonwealth coal Co. Tr 5 - coal 4 OasConsolidation coal Co. - Below drainage coal LeasedMted Coal ccnpany - Above draina0» coal LeasedConsolidation coal co. - Oas LesseePocahontas Oas Partnership - CB44 L»»see40.7Z acres 50.9000%

4A.4B.4C.4D.

NiChell Counts - Surface 4 OilDanny Clevinqer et al. - suriace 4 OilJoe Deal - Sur.ace 4 OilJoseph Turley - Surface 4 Oil

P»0» 0

Page Number 4.

Page 5: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

VGOB Disbursement

Unit Z38

VGOB-98-0324-0634-01

Fractional Net Acreage

Ownershi Ownership

P

in Tract in Tract

Royalty

Split

Agreement Disbursed Disbursed

Escrowed Percent of Disbursement

Acres EscrowedFunds

Table 1

Tracts: 1, 1D

Item Tract Disbursement Table

Total acreage in escrow before disbursement 35.48000

1 Tract 1 (total acreage)1

(1 (Doris Betty Addison)1305 Terrace Ct, Sykesville, MD 21784

1D Tract 1D (total acreage)1

~1D ~Elmer Burke)1759 Riverside Dr, Raven, VA 24639

Wells contributing to the escrow account: PGP Z38A W/PL, CBM Z38B W/PL

12.80

1.4212.80001 100.00/o

I12.8000136.0767/o

I$59 504 53

1.42001 100.00'/oI

1.42001 4.0023'/oI $6,601.28

Page Number 5.

Page 6: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

Exhibit EUnit 2-38

Docket ¹VG0B-98-0324-0634-01List of Respondents that require escrow

Net Acresin Unit

Interest in

Unit

TRACT ¹18- 20.98 acres

COAL OWNERSHIP

Commonwealth Coal Company, Tr. 3(Newell Short 87.13Acre Tract)P.O. Box 1269Bristol, VA 24203

20 98 acres 26 22500/0

OIL 8 GAS OWNERSHIP

The ownershi p listed below is currently being reviewed and documentation is being requested to verify tige.

(1) Curtis Wade Heirs, Devisees,Successors or AssignsHeirship Pending

20.98 acres 26,2250%

TRACT ¹1C - 0.29acres

COAL OWNERSHIP

(1) Commonwealth Coal Company, Tr. 3(Newell Short 87.13Acre Tract)

P.O. Box 1269Bristol, VA 24203

0.28 acres 0.3500'/r

OIL 8 GAS OWNERSHIP

W9 Pending

(1) Gerald K. ShorttPO Box 33Shortt Gap, VA 24647

0.28 acres 0 3500o/o

Page 1 of 1 11(10(2015

Page Number 6.

Page 7: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

Exhibit EEUnit 2-38

Docket No. VGOB-98-0324-0634-01List of Respondents with Royalty Split Agreements/Court Orders/HB2058

Net Acresin Unit

Interest in

UnitPercent

of Escrow

TRACT ¹1- 12.80acres

COAL OWNERSHIP

Commonwealth Coal Company, Tr. 3(Newel/ Short 87 13Acre Tree//

P.O. Box 1269Bristol, VA 24203

12.80 acres 16.00000% n/a

OIL & GAS OWNERSHIP

Affidavit from Commonwealfh Coal Corporation, dated September 30, 2015stating they make no claim to the CBM due fo the current state of lawThe ownem listed below are plantiffs in case no/ 1/10-cv65

(1) Doris Betty Addison

1305 Terrace CourtSykesvil/e, MD 21784

12.80 acres 16.00000% 36.0767% -100%

TRACT ¹1D- 1.42acres

COAL OWNERSHIP

(1) Commonwealth Coal Company, Tr. 3(Newel/ Short 87.13Acre Tract)

P.O. Box 1269Bnstol, VA 24203

1.42 acres 1 7750% n/a

OIL & GAS OWNERSHIP

(1) Elmer Burke1759 Riverside Drive

Raven, VA 24639

1.42 acres 1.7750% 4.0023%HB2058

Page 1 of 1 11(10/2015

Page Number 7.

Page 8: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

AFFIDAVIT OF MAILING

COMMONWEALTH OF VIRGINIACOUNTY OF BUCHANAN

Applicant: CNX Gas Company LLCRelief Sought: Disbursement Petition for Z38

VGOB: 98-0324-0634-01

I, Anita D. Duty, after being duly sworn upon oath, state as follows:

l. I am the Pooling Supervisor for CNX Land Resources, Inc. and am responsible for the notification

process required by Va. Code Ann. ti45.1-361.19of the Code of Virginia and 4VAC25-160-40.

2. That on November 12.2015 a true and correct copy of the Notice of Hearing and Exhibits were

mailed, via certified mail return receipt requested, based upon information and belief, the names and last-known

addresses, where such addresses are known, of the parties owning an interest in this cause are set forth and attached

hereto.

Notice of this cause has therefore been served by mail pursuant to the applicable statues and rules

of the Board.

An''. ItutyPool' ervisorfor C and LLC

STATE OF WEST VIRGINIA

COUNTY OF MERCER, TO-WIT:

TAKEN, SUBSCRIBED AND SWORN to before me this 344 day of Yle C Prn 4P r

2015.

NotarILPublic

My commission expires: An( . 1 5 5095N I

OFFICIAL SENotary Pedio, State of W

MELISSA CtttyS24at Joha ka h

Sl aa Id, WV 2Ml/ comA aa xpll

Page Number 8.

Page 9: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

CERTIFICATION OF NOTICECNX Gas Company LLC

Unit Y37, Z37, Z38VGOB 98-0324-0637-01, 98-0324-0631-02, 98-0324-0634-01

, Disbursement

Last Name First Name Y37Add D r 8*iiv

8 3* ti

56 r 1

VDOT

W 4* 8 d lar d

2378

Z388

MAILED RECEIPT ¹

11/13/15 7008163000000135

11/13/15 700818300000013511/13/15 700916800001D89111/13/15 700818300000013511/13/15 7009168D00010891

73027296

137372891489

RECEIVED11/17/201511/17/201511/18/20t5 ohnr y py

11/18/201511/16/2015

Page Number 9.

Page 10: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

W lnelsta axxfsxrwaswxaas /A~Y12221wv

~ Complete items 1, 2, and 3.Also completeitem 4 if Restricted Delivery is desired.

~ Print your name and address on the reverseso that we can return the card to you.

~ Attach this card to the back of the mailpieceor on the front If space permits.

1. Article Addressed to:

wwwelwxwxxexwxwxswxwl ew swwxwxuv

D. Is delivery address different from item 1? CI Yes

If YES, enter delivery address below: O No

DorisBetty Addison1305 TERRACE CTSYKESVILLE MD 21784-8363

S. Service Type

ist 0 mihd Mal O Bm~ MalO Reglslwsd Cl Return Rsoslpt for Merchandise

O insured Mali CI C.O.D.

4. Restricted Delivery? IBrss Fssf Cl Yss

dtrs60135 7302 A7L~ g 47 z g7 z3tt43 Form 3811,February 2004 Domestic Return Receipt 102505.02-M-1540

~'ldalsld fawsarrlaswxaaxsrLRYasssrssr

~ Complete items 1, 2, and 3.Also completeitem 4 If Restricted Delivery is desired.

~ Print your name and address on the reverseso that we can return the card to you.

~ Attach this card to the back of the mailpiece,or on the front if space permits.

1. Article Addressed to:

*S~ign

xFI222L &c-.- .a. Rece&ved by I Prfnrsd Name) C. Date of Delivery

I,6>( IAD. Is delivery address different from Item 1? O yrgs

lf YES, enter delivery address below: O No

Rondal & Freda Wade1053 SHORT HILL RDRaven VA 24639-8505

S. Service Typelm Certaed Mall O Brpress MalO Registered O Return Receipt for Merchandise

O Insured Mall O C.O.D.

4. Restricted Delivery? faxes Fssi O Yes

7009 1680 0001 0891 1489PS Form 3811,February 2004 Domestic Return. Rsbsipt 10250502-M-I 540

% I M 2 I SIa 25WNSSVIWe Wxaaaarxaas WKfew

~ Complete474M~@~ ~plateitem 4 if Restricted Delivery is desired.

~ Print your name and address on the reverseso that we can return the card to you.

~ Attach this card to the back of the mailplece,or on the front If space permits.

1. Article Addressed to:

sived bf(kglhisd N~ C. Date of Delivery

I yl-/PiKD. Is delivery address different from item 1? O Yss

If YES, enter desvery address below: CI No

Commonwealth of Virginia

DEPT. OF TRANSPORTATION

870 BONHAM RD

Bristol VA 24201-2002

S. 30Nlcs Type

K Certified Mall O Express Mail

Cl Registered Cl saturn Receipt for Merchandise

O Insured Mail O C.O.D.

CI Yes4. Reslricted Dssvsryf IBrtra Fss)

7008 1830 0000 0135 7289 337W.RIDPage Number 10.

Page 11: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

USPS.corn - USPS Tracking Page 1 of 2

egi n c t mors usps u Ill* no to Iso

USPS.CON'SPS

Tracking EBCustomer Service >

Have questions? We'e here to help.

Get Easy Tracking Updates I

Sign up for My USPS.

Tracking Number: 70081530000001357295

Updated Delivery Day: Monday, November 15, 2015

Product 8 Tracking Information Available Actions

Postal Product: Features:Certdied Meit Text Updates

DATE It TIME STATUS OF ITEM LOCATION Email Updates

November 17, 2015, 9:19am

Delivered RAVEN, VA 24639

Your item was dekvered ai 9 19 am on November 17, 2015 in RAVEN, VA 24639

November16,2015,3 14pm

Notice Left (No AuthonzedRecipient Available)

RAVEN, VA 24639

November 16, 2015, 8 48am

Out for Delivem RAVEN, VA 24639

November 16, 2015. 8.38sm

Sorting Complete RAVEN, VA 24639

November 16, 2015, 7.11am

Arnved at Unit RAVEN, VA 24639

November 14, 2015, 7 00pm

Departed USPS Faolily CHARLESTON, INV 25350

November 13, 2015, 10 09pm

Arrived at USPS Facility CHARLESTON, Inv 25350

Track Another PackageTracking ior receipt) number

70081830000001357296 Track It

Manage Incoming PackagesTrack all your packages from a dashboardNo tracking numbers necessaq

Sign up for My USPS I

https://tools.usps.corn/go/TrackConfirmAction?qtc tLabels1=70081830000001357296 12/4/2015Page Number 11.

Page 12: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

O

< V

COaCC

CO

g C

C tV«l

a

o 04 Q

n

C

AV

N

8C

8A

egKA

Z

D

4

5 5 3 3Z Z Z Z Z Z Z Z Z

DZ Z

R

2 ZZ

Z Z

Page Number 12.

Page 13: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

le0

0

84

Id I0

tJ

e00 I0 «I

eef0 (4

0 0

0

l

~eX ee«0

E

0

SZl 8

80

Ie

04I 0

0

Page Number 13.

Page 14: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

1e

IS

C

ÃQN

eeg d

Id

d Id

415

IeV

IB IS

Oi

o14

ez-d

IS

Id

Page Number 14.

Page 15: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

XRÃ ZZ X

Ct

SH

m '8 d

8 K

d

t

8

f«7f

6 d

A'y,ag IFI

XX< V

CO

C

COC

Cg

Cl

O

OD

lVm

C

0U 5

V A A l M h l t

3 D.=

ay B

1

8 5

C

8 R

Page Number 15.

Page 16: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

0

Ot

OO

Olltl

pE o

O El

e

IO

< It

OO

O

OO

Io

O

O 04 Q

e

'E

I'

8

I A

j RE

a

I

I

8

C

e

OR

'O

O,

et

'O

O

'OO

IO

IO

DE

eV

Page Number 16.

Page 17: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

AFFIDAVIT OF MAILING —COAL OWNER

COMMONWEALTH OF VIRGINIACOUNTY OF TAZEWELL

Applicant: CNX Gas Company LLCRelief Sought: Disbursement Petition for Z38

VGOB: 98-0324-0634-01

I, Anita D. Duty, after being duly sworn upon oath, state as follows:

1. I am the Pooling Supervisor for CNX Land Resources, Inc. and am responsible for the notification

process required by Va. Code Ann. ll45.1-361.19of the Code of Virginia and 4VAC25-160-40.

2. That on November 3.2015 a true and correct copy of the coal owner dismissal and prior order

were mailed, via certified mail return receipt requested, based upon information and belief, the names and last-

known addresses, where such addresses are known, of the parties owning an interest in this cause are set forth and

attached hereto.

Notice of this cause has therefore been served by mail pursuant to the applicable statues and rules

of the Board.

~nr a D. DutyPool~upervisorfor CNX Land LLC

STATE OF WEST VIRGINIA

COUNTY OF MERCER, TO-WIT:

TAKEN,SUBSCRIBEDANDSWORNtobeforemethis 3Ql dayof A/Ollfrvl k>Pc

2015.

Notary Public

Page Number 17.

Page 18: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

CERTIFICATION OF NOTICE

CNX Gas Company LLC

Un ts Y37 Z38VGOB 984I324-0637-01 98-03240634-02

ICoal owner Clsmissal

Last Name IF/rst NameIc 1th c Ic l(o 10

IY37 1238 I MAILED I RECEIPT 8 I RECEIVEDI12/3/131701115200oo33333 10219 I 21727/201\I

Page Number 18.

Page 19: BEFORE AND...870 BONHAM RD Bristol VA 24201-2002 S. 30Nlcs Type K Certified Mall O Express Mail Cl Registered Cl saturn Receipt for Merchandise O Insured Mail O C.O.D. 4. …

+tavvtata vaatarrrrfeeteaaeanlNMaasafstrv

~ Complete items 1, 2, and 3.~ Print you'r name and address on the tsverse

so that vvs can return ths card to you.M Attach this card to the back of the mailpiece,

or on the front if space permits.1. Article Addressed to:

XB. Received by fpdnted iyemef ] D. Date of Ds~r

~e-»-isD. Is delivery address difierent from Item 12 O Yes

If YES, enter delivery add tsss bslovn Cl No

a a

4+~ee.@ MI ~u> jti~',+4 ACCcvk ~~~f, S;~~ 54rC0,5h'Id g~

lllllll5llllfllilllllPllllliillllllillllllll9590 9408 0698 5196 8956 05 D csrsned malt enamored convey gfsetem Resent rar

D Collect on Csnvary Msrohsndlasn - — ' M 533j vt tn . ',on csllvey Restdoad csiivary D Slang Connnnat~p

r. g5tng DODD'

"Mas ISSIDv

~93 n7015 D trisehd Mall Rsstrlda'd Csnvsrylover'Saenl .

, Ps Form 3811,April 2015 PsN 7530-02-000-9053 $3 rnecelpt

Page Number 19.