Page 19 - Petrospex_Elaine Prospect
P. 19

IN WITNESS WHEREOF, the undersigned has executed this Purchase Agreement
               and Power of Attorney this ________ day of __________________, 2019.

               ______________________________________             ____________________________________
               Signature of Purchaser                             Residence Address

               ______________________________________             ____________________________________
               Name of Purchaser (Typed or printed)           City or Town

               ______________________________________             ____________________________________
               Signature of Co-Purchaser                          State                        Zip Code

               ______________________________________             ____________________________________
               Name of Co-Purchaser                               Daytime Telephone

               ______________________________________
               E-mail address for drilling updates

               ______________________________              _______%             $______________________
               Taxpayer Identification or           %of Working Interest        Purchase Price
               Social Security Number(s)

               STATE OF __________________

               COUNTY OF ________________
               THIS INSTRUMENT WAS ACKNOWLEDGED BEFORE ME ON THE ___ DAY
               OF

               ___________________, 2019, BY ________________________________.


                                                           ________________________________________
                                                           NOTARY PUBLIC IN AND FOR THE

                                                           STATE OF _________________


               _____________________                       ________________________________________
               DATE                                        Brook Hatchett For Petrospex,LLC










                                             Purchase Agreement – Page 3 of 3
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