OMB No. 0581-0178

Form H-1 (Exp. 3/31/2024) Destroy previous editions.

FAR WEST SPEARMINT OIL ADMINISTRATIVE COMMITTEE

6601 W. Deschutes Ave., Suite C-2

Kennewick, WA 99336

Phone: (509) 585-5460 or Fax: (509) 585-2671

Send Original to Committee 

Keep attached copy for your records Still Form for: ___________________________

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Name of Still Prepared by
OMB No. 0581-0178

Form H-1 (Exp. 3/31/2024) Destroy previous editions.

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