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Noble World Record Form
NAME____________________________________________________________________________
ADDRESS___________________________________PHONE #_______________________________
CITY____________________________________________________STATE____ZIPCODE_________
FISHING PERMIT #_________________________________WEIGHT_________LBS____________OZ
SPECIES OF FISH____________________________________________LENGTH_________________
DATE SPEARED______________________STATE SPEARED_________________________________
NAME OF LAKE/BODY OF WATER_____________________________________________________
WHERE WEIGHED__________________________________________________________________
ADDRESS_________________________________CITY___________________PHONE____________
LOCAL FISH AND GAME DIVISION_____________________________________________________
EMPLOYEE NAME_____________________________________PHONE_______________________
WITNESS NAME________________________________SIGNATURE__________________________
WITNESS NAME________________________________SIGNATURE__________________________
MAIL FORM AND PHOTOS TO: DUSTIN NOBLE, 920 18THSTREET, GOTHENBURG, NE 69138
OR SUBMIT TO NOBLEOUTDOORSNE.COM
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