Appendix to Part 556 - Oil and Gas Cash Bonus Bid

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The following bid is submitted for an oil and gas lease on the area of the Outer Continental Shelf specified below:

Tract No.* Total amount bid Amount per acre (or per hectare) Amount of cash submitted
with bid

*Or, if tract numbers are not used, Protraction Diagram or Leasing Map and block number.

Bidder qualification No. Proportionate interest of company(s)
submitting bid Name and address of bidding company
__ Misc. No.

Authorized signatory's name and title.

Bidder qualification No.	Proportionate interest of company(s) submitting bid	Name and address of bidding company
__ Misc. No.

                    
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