| Filename | Brittain_246_13_2018-07-18_0001 |
| Title | Blank Record of the Plugging of a Well |
| Front/Back | Front |
| Blank | No |
| Author | |
| Date | |
| Type | Form |
| Country | Canada |
| State | Ontario |
| County | |
| Township | |
| Lot | |
| Concession | |
| OGSRA Well Ind | No |
| Quality Score | 2 |
| Documentation Score | 2 |
| Description | A blank \'Record of the Plugging of a Well\' form. |