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<br />FIRST NATIONAL BANK <br />OF LONGr40NT <br />PO....BOX 1159 <br />LONGMONT CO 80502 <br /> <br />OWNERSHIP OF ACCOUNT - CONSUMER ISelect One end Inklal): <br />o Single-Party Account_ 0 Trust-Separate Agreement_ <br />o Multiple-Party Account <br />o Other <br /> <br />RIGHTS AT OEA TH ISelect One And Inltlel): <br />o Single-Party Account <br />o Multiple-Party Account With Right of Survivorship <br />o Multiple-Party Account Without Right of Survivorship <br />o Single-Party Account With Pay On Death <br />o Mu'tm'e-Part6 Account With Right of Survivorship <br />and a~ On eath <br />PAY.ON.DEA H BENEFICIARIES: To Add Pay-On-Death Beneficiaries Name One or More; <br /> <br /> <br />OWNERSHIP OF ACCOUNT. BUSINESS PU <br />o SOLE PROPRIETORSHIP 0 PARTNERSHIP <br />xIXJ CORPORATION: 0 FOR PROFIT iXkNOT FOR P <br />o <br />BUSINESS: DITCH CO <br />gn~1j.~lrA~,b"N: WELD CO <br />AUTHORIZATION DATED: SEPTEMBER 11 <br /> <br />2000 <br /> <br />DATE OPENED 09/11/2000 BY FLS <br /> (~600 - <br />INITIAL DEPOSIT $ 6:8.QQ8.8S <br />o CASH ilaJa:HECK 0 <br />HOME TELEPHONE # <br />BUSINESS PHONE # <br />DRIVER'S LICENSE # <br />EMPLOYER <br />MOTHER'S MAIDEN NAME <br />Name and address of someone who will always know your Jocation: _ <br /> <br />BACKUP WITHHOLDING CERTIFICATIONS <br />TIN: 84-0226700 <br />IXkTAXPAYER 1.0. NUMBER ~ The Taxpayer Identification Number <br />shown above (TIN) is my correct taxpayer identification number. <br />IXk BACKUP WITHHOLDING . I am not subject to backup <br />withholding either because I have not been notified that I am <br />subject to backup withholding as a result of a failure to report all <br />interest or dividends, or the Internal Revenue Service has notified <br />me that I am no longer subject to backup withholding. <br />o EXEMPT RECIPIENTS - I~an exempt reCipient under the <br />Internal Revenue Service Regula Ions. <br />SIGNATURE: J certlf u ef p " Ities of perjury the statements <br />chec s see . n <br />V 9- IZ-CJO <br />IDatel <br /> <br /> <br />F8lffila2 Blnkers Systems, fnc., St. Cloud, MN Furm MPSC-LAZ-CO 3/t6/99 <br /> <br />ACCOUNT 749710 <br />NUMBER <br /> <br />ACCOUNT OWNERISJ NAME & ADDRESS <br /> <br />HIGHLAND DITCH CO <br />A COLORADO NON-PROFIT CORP <br />FBO COLO WATER CONSV BOARD <br />4309 HWY 66 #3 <br />LONGMONT CO 80504-9629 <br /> <br />MONEY MARKET SVGS BUSINESS <br /> <br />TYPE OF <br />ACCOUNT <br /> <br />IXkNEW <br />o CHECKING <br />IXkMONEY MARKET <br />o NOW <br /> <br />o EXISTING <br />o SAVINGS <br />o CERTIFICATE OF DEPOSIT <br />o <br /> <br />This is your (check onel: <br />fXkpermanent 0 Temporary account agreement. <br /> <br />Number of signatures required for withdrawal <br />FACSIMILE SIGNA TURE(SI ALLOWED? 0 YES <br /> <br />2 <br />IXkNO <br /> <br />L <br /> <br />] <br /> <br />SIGNA TUREIS) THE UNDERSIGNED AGREEIS) TO THE TERMS <br />STATED ON PAGES 1 AND 2 OF THIS FORM. AND <br />ACKNOWLEDGE(S) RECEIPT OF A COMPLETED COPY ON TODA Y'S <br />DATE. THE UNDERSIGNED ALSO ACKNOWLEDGEIS) RECEIPT OF A <br />COPY OF AND AGREEIS) TO THE TERMS OF THE FOllOWING <br />DISClOSUREIS): <br /> <br />IXkDeposit Account Disclosure [Xba:unds Availability Disclosure <br /> <br />fXkElectronic Funds Transfer Disclosur 0 TIS Disclosure <br />o <br /> <br />111:~~ <br />TOM REYNOLDS, <br />1.0. # <br /> <br /> <br />] <br /> <br />D.O.B. ~-~/- 'If <br /> <br />121: fu~~.2~ ] <br /> ROBERT SCHLAGEL, <br /> 1.0. # D.O.B. <br />131: ] <br /> D.O.B. <br />141: L ] <br /> <br /> <br />1.0. # D.O.B. <br /> <br />AGENCY (POWER OF ATTORNEY) DESIGNATION IOptional): To Add <br />Agency Designation To Account, Name One or More Agents: <br /> <br />(Select One and Initial): <br />o Agency Designation Survives Disabilit~ or Incapacity of Parties <br />o Agency Designation Terminates on Disability or Incapacity of Parties <br /> <br />(page 1 of 2) <br />