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'�_'�""^"_'_"__'_"""'_'_'___"_'>,_s "__"_'_"""""""__'_""_""_'_"� i �.F+CC'Zi�Q - '_""_""_"_"""_'_"""""' '_ ' _ ""' '(07/03/2003) -PARTMENT OF AGRICULTURE FORM APPROVED ___________________��_�MODITY CREDIT CORPORATION �. State & County Code : OB 083 OMB N0. 0578-0013 ------- `-"-'-'-'---------- 2. a. Farm Number(s) : 2231 CONSERVATION PROGRAM APPLICATION/CONTRACT b� Tract Number(s) , u42 3. Contract Number : 20040624 4. Primary Fund Code : Og999g/2004 . 5. HUA Number : 14080107000000 -----------------------------------------------------------------------------------------6--Total Treated Acres : -------------------- 10. CONTRACT PARTICIPANTS, (continued) �---------' ----------------------------------------------- ---------------------------------------------------------------------------------- NAME, ADDRESS, and PHONE NUMBER PAYMENT ID NUMBER: 1/ 523 70 3496 S . MANCOS�C 38 "L 7 v '' S�3' ! j�j�.:� i��RE � I N DATE: ^ . 0 81328-8909 a � � _.,/ 5 _� (,� • [ � ---------------------- -- �� - --------- _ ------------ --------- - --- -------- - NAME. ADDRESS, and PHONE NUMBER PAYMENT ID NUMBER: 1/ 522 50 8186 S ---------------------------------- GILMER PICKENS � p�33.7639 SHA�jS NA UR : PO BOX 690 MANCOS. CO 81328-0690 ------------------------------- ------------ NAME, ADDRESS, and PHONE NUMBER FRANK WILLBURN 97Q-533-7504 6162 ROAD 38 MANCOS, CO 81328-9259 ---------------------------- - NAME. ADDRESS, and PHONE NUMBER, GREG WOLCOTT ��,� � �3�.r�� 38962 ROM F MANCOS. CO 81328-8901 ---- :- ---------------------- - ---- ------------ NAME. ADDRESS, and PHON V �/ �` "/(� '� � �� ^ "`` � �! r G�` � 1� �'7°' � - -- ----------------� r --��!'�l-'''` J��' NAME, ADDRESS, and PHONE NUMBER ---------------------------- NAME, ADDRESS, and PHONE NUMBER J. �,� PAYMENT SHARES (�) I 3 i. `fi� PAYMENT SHARES (�) _ t �R� PAYMENT SHARES (�) �. �� PAYMENT SHARES � (�) I PAYMENT SHARES (�) - ----------------------- - ---- -------------- --------- NAME. ADDRESS, and PHONE NUMBER PAYMENT i SHARES I (�) I ------------------------- - ---- -------------- --------- NAME. ADDRESS, and PHONE NUMBER PAYMENT SHARES � (�) -------------------- -- - --------------------- ----- -- NAME, ADDRESS, and PHONE NUMBER PAYMENT � SHARES � . (�) I ID NUMBER: 1/ I NA�URE: DATE: � �- - --- ----------- N � � � �T ----y--------------------- 521 44 06Q9 S DATE: %' _ ' � ' � c �� v.-L � , ��`" _-`"'�-- �� L � - ---- — — — - — - - - - ------------------- ----- ID NUMBER: 1/ 169 1799 S �-��-- I N DATE: • �`� ?�� --------------- - --- - - ' --- -- -' ID NUMBER: 1/ �-- � :., � --y��-� ----------------------- I NA U : �� ' b , DATE :�� � i ----------------------------------------------------------------------- ID NUMBER: 1/ I NA URE: DATE: -------------------------------------------------- ID NUMBER: 1/ -�------"-"""--- NA DATE: --------------------------------------------------- ID NUMBER: 1/ ----'-��" "--- SI NA�TURE: — DATE: --------------------------------------------------------- ID NUMBER: i/ '" " "'----- I NA U : DATE: -------------------- ------------------------------------------ ID NUMBER: 1/ '--------- I NA U : DATE: - , , -- -------------------------------------------i----------------------------- NAME. ADDRESS, and PHONE NUMBER PAYMENT ID NUMBER: 1/ --------"--" -- "-�---- � SHARES + NA UR : DATE: (�) I -------------- ----------------- ----------- I I - ------------------------------------------------------------------------------ - 1/Joint Operation ID, if applicable __________