NLLACQ00016

• Case Number: W-576-72
• Lake Name: MEXICAN CUT POND #12
• Watershed: Crystal River
• Water Division: 5
• Water District: 38
• County: Gunnison
• NLL Acq - Doc Type: Contracts, MOA/MOU, Leases, Agreements

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S'J'A'fE OF r.m,OHADO

COUNTY OF .JgF,'gRSON

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Doug.l as M. Sll1,i th, Jr., bei.ng first cluly Gworn I (lc;!poscS and
says that hG has read, the foregoihg APPJ.JICATION l"OR CONDPl'IONAL
WA'l'ER RIGIl'J.'S, knows t:he contents thcr<.~of 1 and th<':! S,tlnG is true.
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~Jubsc:r.ibcd and sworn to before me this __<7":Jn d<.IY of
._.--to&..:.C{~:,.",..I(,~,_, __._.,..._' 1980, by DOU~,ll<1s M. Smith, ,Tr., Hnnngcr,
Rocky Mountain Exploration Division, ASARca Incorporated.

My COJnmiss.i on Expires: Y:I/'}.z:0./k/"~..dfj_.../ij,7-

v.litn{'f~S My hf=.lnd u.nd official scnl.

~d 'c<::--L"'()~:g~{l/_
Notary Public ;:/
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