| Sec(s)..., ..., ..., ..., T, ..., N, R... (E)(W) W.M. (circle one): |
| Sec(s)..., ..., ..., ..., T, ..., N, R... (E)(W) W.M. (circle one): |
| Sec(s)..., ..., ..., ..., T, ..., N, R... (E)(W) W.M. (circle one): |
| Sec(s)..., ..., ..., ..., T, ..., N, R... (E)(W) W.M. (circle one): |
| . . . . . . . . . . . . . . . (counties) |
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