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DEPARTMENT OF THE TREASUR <br />SAFEKEEPING RECEIPT <br />140 State Capitol <br />Denver, Colorado 80203 RECEIPT No. N_ 1 4 8 8 6 <br />Received from: Water Conservation board December 17, 1996 <br />Date <br />the following described property: <br />Name: Mancos Water Conservancy District <br />Operation: <br />Bank or Company: Mancos Valley Bank <br />Insurance Company: <br />Bonding Agent: <br />Stock # <br />Shares: <br />CUSIP: <br />Bond # ` <br />$ 4,397.57 <br />Permit # <br />Letter of Credit # <br />Check # <br />CD # 517606 <br />Amount $ 4,397.57 <br />Rate: 5.75% <br />Dated: 12 -11 -96 <br />Due: 12 -11 -01 <br />' `Rider Dated: <br />Increase/ Decrease $ <br />New Due Date: <br />to be held in safekeeping. This is your receipt. <br />The property described above will be returned only upon surrender of the original copy of this receipt, signed by a <br />properly authorized person and approved by the appropriate state official. <br />This receipt is not negotiable or assignable. <br />Treasurer, State of Colorado <br />By <br />Authorized gent <br />Treasurer, State of Colorado: <br />The purpose having.been effected, you are requested to release and return the property hereinabove described. <br />Withdrawl Aognt/a'yeo: /C <br />TR 200 (6190) 0 <br />