PROJ01960 ‎(2)‎

• Contract/PO #: C150249
• Contractor Name: Black Dike Pipeline Company
• Contract Type: Loan
• Water District: 0
• County: Montezuma
• Loan Projects - Doc Type: Feasibility Study

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9. If the corporation's period of duration
is less than perpetual, state the date on
which the period of duration expires:

10. (Optional) Delayed effective date:

11. Name(s) and addressees) of
incorporator(s): (if an individual)

OR (if a business organization)

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(CUy)

(State) (Postal/Zip Code)

(Province - if applicable)

(Country - if not US)

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(mm/dd/yyyy)

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(mm/dd/yyyy)

Petersen
(Last)

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Dan

(First)

(Middle)

(SuffIX)

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15600 Road J

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(Street name and number or Post Office Box information)

Cortez

CO 81321
U (p.tate) S (Postal/Zip Code)
nlted tates
(Country - if 110t US)

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(City)

(Province - if applicable)

Eric

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(ifan individual) Lindgren
(Last)

(if an individual) Southworth
(Last)

OR (if a business organization)

OR (if a business organization)

(First)

(Middle)

(SuffIX)

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14531 Road G

(Street name and number or Post Office Box information)

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Cortez

CO 81321
~tate) (postal/Zip Code)
United States .
(Country - if not US)

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(City)

(Province - if applicable)

William
(First)

(SuffIX)

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(Middle)

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14575 Road G
(Street name and number or Post Office Box information)

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Cortez

CO 81321
~tate) (Postal/Zip Code)
United States
(Country - if not US)

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(City)

(Province - if applicable)

(If more than three incorporators. mark this box 0 and include an attachment stating the names and addresses of all
incorporators.) .

ARTINC_NPC

Page 2 of 3

Rev. 11116/2005

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