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share assistance payment under the Grants-to-Counties Well Program.\n□ Yes □ No", "pdf_field_name": "topmostSubform[0].Page1[0].This_well_will_be_submitted_for_cost_share_assistance_payment_under_the_GrantstoCounties_Well_Program[0]", "source": "acroform", "label_source": "parent_text", "label_ref": "p1.20", "text_offset": 105, "text_span": 1 }, "reading_order": 0 }, { "id": "p1.20.2", "order": 57, "type": "form_field", "bbox": { "l": 311.28, "t": 317.4, "r": 322.32, "b": 306.36 }, "text": "Off", "attrs": { "field_kind": "radio", "label": "This well will be submitted for cost share assistance payment under the Grants-to-Counties Well Program.\n□ Yes □ No", "pdf_field_name": "topmostSubform[0].Page1[0].This_well_will_be_submitted_for_cost_share_assistance_payment_under_the_GrantstoCounties_Well_Program[0]", "source": "acroform", "label_source": "parent_text", "label_ref": "p1.20", "text_offset": 111, "text_span": 1 }, "reading_order": 1 } ], "reading_order": 19 }, { "id": "p1.21", "order": 58, "type": "text", "bbox": { "l": 47.76, "t": 305.76, "r": 557.52, "b": 279.12 }, "text": "If yes, the reconstruction of this well was performed with the oversight and assistance of the designated county agent and conforms to the requirements stated in Iowa Administrative Code 567 Chapter 49.10.", "reading_order": 20 }, { "id": "p1.22", "order": 59, "type": "text", "bbox": { "l": 81.12, "t": 223.2, "r": 524.64, "b": 209.28 }, "text": "I have reconstructed this well in a manner defined by Iowa Administrative Code 567.49.10.", "reading_order": 21 }, { "id": "p1.23", "order": 60, "type": "text", "bbox": { "l": 130.56, "t": 185.28, "r": 258.24, "b": 170.88 }, "text": "Signature of Contractor", "reading_order": 22 }, { "id": "p1.24", "order": 61, "type": "text", "bbox": { "l": 130.08, "t": 185.04, "r": 506.64, "b": 171.6 }, "text": "_____ _____", "reading_order": 23 }, { "id": "p1.25", "order": 62, "type": "text", "bbox": { "l": 456.48, "t": 185.04, "r": 505.92, "b": 171.6 }, "text": "Cert. 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\"Image\"
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