FORM 1073C

Rev.2017

Page 1

BEFORE THE CORPORATION COMMISSION OF THE STATE OF OKLAHOMA

Applicant:
Address: / Cause Number
City,
State: / Zip:
OTC Operator Number

NOTICE OF HEARING

Notice is hereby given: that the Applicant in this cause has filed an application with the Commission requesting that the prior orders mentioned below and on Exhibit “A” attached hereto be amended to allow for the following:

( )Change Of Operator

( )Appointment Of Alternate Operator

( )Delete Designated Of Operator

ORDER NO. / DATE / TYPE OF ORDER / LEGAL DESCRIPTION:

(See Exhibit “A” for additional Orders)

Applicant: / Cause Number

Notice of Hearing Continued:

Notice is further given: that said application shall be set before the Hearing Officer on the Initial Hearing Docket on the Corporation Commission, 1st floor, Jim Thorpe Building, Oklahoma City, Oklahoma, at ______a.m., on the ______day of ______, _____.

Notice is further given: that all interested persons may appeal and be heard. For
Information concerning this action, contact:
Phone Number:

Notice is further given: that any person or interested parties desiring to protest this application shall have fifteen (15) days from receipt of this notice in which to file with the Commission a written protest. Failure to submit a written protest within said fifteen (15) days shall be deemed acquiescence to the granting of the application.

CORPORATION COMMISSION OF OKLAHOMA
CHAIRMAN
VICE CHAIRMAN
COMMISSION

Done and Performed this ______day of ______, ______.

BY ORDER OF THE COMMISSION:

______

Secretary

Applicant: / Cause Number

EXHIBIT “A”

ORDER NO. / DATE / TYPE OF ORDER / LEGAL DESCRIPTION:
Well Name. / Classification / OTC Lease No. / API / Order No.

Please mail this completed form to the OCC at the following address:

Oklahoma Corporation Commission

Attn: Court Clerk

P.O. Box 52000

Oklahoma City OK 73152-2000

“All persons mailing documents to the Court Clerk shall enclose a self-addressed postage- paid envelope large enough for the return of a filed stamped copy. Failure to enclose a self-addressed postage paid envelope will result in a filed stamped document not being returned.”