Form R-9023 (10/05) - Oil And Condensate Parish Summary Page 2

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R-9023 (10/05)
Revenue Account Number (10 digit BMF #)
Reporting Company ID (5 digit)
Taxable period
Parish
Parish Name
Tax Rate
Taxable Barrels
Total Amount Due
Code
Code
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
5405

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