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<br />IIOIIWBr SANKS <br />II. <br /> <br />. <br /> <br />(Book Wry) <br /> <br />Cf?O &')q- 0.550 <br /> <br /> <br />4 <br /> <br />COP'{ <br /> <br />NORWEST BANK COLORADO. N.A. <br />PUBLIC FUND 100M OR OVER <br /> <br />07/11/97 <br /> <br />11:3-3:46 <br /> <br />======================================================================== <br /> <br />UPPER YAMPA WATER <br />CONSERVANCY DISTRICT <br />BOX 880339 <br />~TEAMBOAT SPGS CO 80488-0339 <br /> <br />home <br />business <br />soc see no <br /> <br />issue date <br />auto renewal <br />withholding <br />market code <br />pod <br />opened by <br />D Online <br /> <br />000-000-0000 <br />303-879-2424 <br />840776538 <br />07/11/1997 <br />NON-RENEW <br />NO <br />999 <br />CLARICE DEAN <br /> <br />account no <br />face amount <br />maturity - <br />date <br />term <br />interest - <br />annual percentage <br />yield <br />rate <br />frequency <br />day base year <br />method ~ . <br />disposition <br />disposition no <br /> <br />NA. <br />5.75 <br />3 MONTHS <br />365/366. <br />SIMPLE <br />CHECK <br />NA <br /> <br />644686001 <br />150.000.00 <br />07/11/2000 <br />36 MONTHS <br /> <br />0.7/11/97 11:;; <br /> <br />lO:J~( <br /> <br />The Internal Revenue Service (IRS) requires for interest paying accounts the following: the owner whose <br />social security or taxpayer identification number appears above certifies, under penalty of pe7"ury, that (1) the <br />owner's social security or taxpayer identification number is correct, or the issuance of a socia security <br />number or a taxpayer identification number has been applied for, (2) the owner has received a copy of the <br />instructions contained in IRS Form W-9 (incorporated herein by reference), and (check one); <br /> <br />o that such owner is not subject 10 backup income tax withholding either because such owner is exempt or because no notice has <br />been given that backup withholding is required due to failur, to report all interest or dividends. or because the Internal Revenue <br />Service has given notice that backup withholding is no longer required; or .. <br /> <br />o that such owner is subject to backup withholding. <br /> <br />AutlKlrlt SJ ...,.., <br /> <br /> <br />, . <br />i/ <br />SiJ:F;ature al Depositar <br /> <br />II -v.I:17 <br />Signature of Depositor <br />Received By: ~~,. '/J ~) <br /> <br />Authorized Agent ~ <br /> <br />The terms on the Reverse Side are Part of this Agreement <br />Thank you for investing your funds at Norwest Banks <br /> <br />2J-1 (R... '01931 <br />