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CT2017-1209 Contract Amend 1
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CT2017-1209 Contract Amend 1
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Last modified
8/5/2016 9:13:40 AM
Creation date
8/5/2016 9:13:35 AM
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Template:
Loan Projects
Contract/PO #
CT2017-1209
C150159
Contractor Name
Orphan Wells of Wiggins, LLC
Contract Type
Loan
County
Morgan
Loan Projects - Doc Type
Contract Documents
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CT2017-1209 <br /> CMS 86947 <br /> C150159 <br /> THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT <br /> *Persons signing for Borrower hereby swear and affirm that they are authorized to act on Borrower's behalf <br /> and acknowledge that the State is relying on their representations to that effect. <br /> Orphan Wells of Wiggins STATE OF COLORADO <br /> John W. Hickenlooper, Governor <br /> By: - Department of Natural Resources <br /> Signatur r <br /> Name: 5-17:42 ✓_P 6u h r Z By; <br /> /� Signature <br /> Title: f'f-ty lie' Y t? / <br /> Kirk Russell, P.E., Section Chief <br /> Date: i"/ / "6 Finance Section <br /> Colorado Water Conservation Board <br /> Date: Lt2 <br /> ATTEST <br /> By: _ arMir :ice C - <br /> Signature / <br /> Name: [OA LiEL 1�/.T C/oaJf'S <br /> Title: // e' 7 'r'..r <br /> Date: '7172 te. <br /> ALL CONTRACTS REQUIRE APPROVAL BY THE STATE CONTROLLER <br /> CRS§24-30-202 requires the State Controller to approve all State Contracts.This Contract is not valid until signed and <br /> dated below by the State Controller or delegate. <br /> STATE CONTROLLER <br /> Robert Jaros,CPA, BA,JD ) <br /> B 1 <br /> Nam . <br /> Maggie VanCleef <br /> Title: i <br /> Effective Date: EA /6 <br /> Page 3 of 3 <br />
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