Southwest - Goodman Point Phase II_Application

• Basin Roundtable: Southwest
• Applicant: Goodman Point Water Association
• Description: Goodman Point Water Association Domestic Water Construction Project
• Account Source: Basin
• Board Meeting Date: 9/19/2007
• Contract/PO #: 150462
• WSRF - Doc Type: Grant Application

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81321

Cortez

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is less than perpetual, state the date on
which the period of duration expires:

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10. (Optional) Delayed effective date:

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11. N ame( s) and address( es) of
incorporator(s): (ifan individual) Berry

J.R.

(i'vliddle)

(Suffix)

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(First)

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12190 CR 16

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CO

Cortez

81321

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(State) (Postal/Zip Code)
United States

(Provillce - ifapplimhle)

(COlllltr" - ifllot US')

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M

Mustoe

(ifan individual)

(First)

(Middle)

(SIIffix)

(Last)

OR (if a business organization)

17250 CR P

(Streel Ilallle alld IlIIlIlher or Post Office Box illjiJrlllatioll)

Cortez

81321

CO

(State) (Postal/Zip Code)
United States

(City)

(Provillce - ifapplimhle)

(COlllltlY - ifllot US)

Evans

Rodney
(First)

L

(if an individual)

(Middle)

(Suffix)

(Last)

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16345 CR P

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Cortez

CO

81321

(State) (Postal/Zip Code)
United States

(City)

(Provillce - ifapplimhle)

(COlllltlY - ifllot US)

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Rev. 11/16/2005

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