MARK AND BRAND APPUCATONCERTRCATE BRANDREGISTRATON. IS FOR1 10 AAATASBAIAeNrA 30,2027) Renewal of this Brand/Mark must be filedo during the period Augus! 31, 2011, to! February 29, 2012 The undersigned hereby makes application for the registration and recording of the following STATE OF TEXAS S COUNTY OF. LAMB mark(s) and/or brand(s). by the County Clerk of LAMB County, Texas. New:]] Name of Owner: Ranch/ /E Business Name: Address; City: Specie: Cattle: Renewal: Release: Transfer Phoné: State: Other: Zip: Ear Marks Only:D Horse:D Drawt the Brand RightEar LeftEar 00 Brand Location: Brand Description: Signature of Applicant: Left ORight Shoulder Side DRib Flank Hip OLoin Thigh DAllLocations Electronic Chip# Date: (OwnerlAgent) NOTARYUSE ONLY Signature of Applicant: Date: Owner/Agent Before me, the undersigned authority, ont this day personally àppeared known) to me to be the pèrson whose name is subscribed to the foregoing instrument and acknowlèdged to me that he/she signed: the same for thep purposes and consideration therein expressed. Given, under my! hand ands seal of office; this-the y e Signaturo of! Notary STATE:OF. dayiof 20 COUNTY OF. Record of the Mark and Brand of of Marks and Brands of said County, in Volume Given under my hand and seal of office ont this. as entered in the! Record 20_ Page. day of as Brand No., Renerewino County Clerk LAMB County, Texas By Depuly Pursuanttol Terasa andSouthweslarn Teras AgricultureCodet CareR Rases 144041,3 Associaton acopy olthss applications shalbtonwardedto: Counly Soal 1301V FortWarth, WestSevenhst, TX76102 Sla.201