MICHIGAN DEPARTMENT OF NATURAL RESOURCES FOREST, MINERAL AND FIRE MANAGEMENT
RELEASE OF UNDERGROUND GAS STORAGE LEASE NO.
This information is required by authority of Part 5, Section 502, Act 451, P.A. 1994, as amended.
Know by these presents, that the undersigned,
, does hereby release, surrender and abandon all their right,
title and interest in and to the above described lease, as it pertains to certain lands, for underground gas storage purposes dated , executed by the MICHIGAN DEPARTMENT OF NATURAL RESOURCES, as Lessor, (which lease is County, State of
shown in the records provided by law for the recording of instruments relating to real property in Michigan, in Liber , Page(s)
)* said lease as further described in Exhibit A, attached hereto.
WITNESS my hand this ______ day of ___________________, 20__. Lessee:
_________________________________________________ BY: ITS:
STATE OF MICHIGAN COUNTY OF
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Before me, the undersigned, a Notary Public in and for said county and state on this day of , 20 personally appeared to me personally known, who being duly sworn, did say that he or she is authorized to sign on behalf of the corporation named in the foregoing instrument and acknowledge to me that he or she executed the same as his or her free and voluntary act and deed and as the free and voluntary act and deed of said corporation, for the purposes therein mentioned and set forth, and that the seal affixed to said instrument was signed and sealed in behalf of said corporation by authority of its Board of Directors.
My Commission Expires: ___________________________, 20__
_______________________________________________ Notary Public, County
*Portion in parenthesis to be used when lease is recorded, and omitted if lease has not been recorded Prepared by:
PR 4353 (03/15/2004)
MICHIGAN DEPARTMENT OF NATURAL RESOURCES FOREST, MINERAL AND FIRE MANAGEMENT
RELEASE OF UNDERGROUND GAS STORAGE LEASE NO.
LEGAL DESCRIPTION OF LANDS IN WHICH RIGHTS, TITLE, AND INTEREST SHALL BE RELEASED
EXHIBIT A
This information is required by authority of Part 5, Section 502, Act 451, P.A. 1994, as amended.
TOWN - RANGE
SECTION
FEE ACRES
MINERAL ACRES
PR 4353 (03/15/2004)