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WSP02315
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WSP02315
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Last modified
7/29/2009 10:49:18 PM
Creation date
10/11/2006 11:02:22 PM
Metadata
Fields
Template:
Water Supply Protection
File Number
1000
Description
CWCB General Files
State
CO
Date
12/19/1949
Title
Clifford H Stone Death 10/22/52-Application for Examination
Water Supply Pro - Doc Type
Report/Study
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<br />EMPLOYMENT.-Contl...d <br /> <br /> " <br /> Dates of EmploymlBl1t ". <br /> L <br /> 2. Ungth of Eroploymcnr POSITION HELD AND NATURE OF pUll ES L RUlon f" Laving <br /> 3. Anl1u.11S:.1"ry <br /> 4. Name and Address of Firm <br /> ,. Name 0' Supervi.or <br /> 1. <br />1. Prom________.__u.....tou......_____..... . <br />2. ..__m_____years...........__.months <br />3. $....hh...h....h....h.h..h....mmhh <br />4. (Leave Blank) <br />..hhh___________________.........__......_.__ <br />5. ..... hnn..._..___.......__....___...__.__.... <br /> Prom__....___________.to...__.....__...... 1. <br />I. <br />2. ......-__.... years........nh..months <br />3. $.........__.................____............... <br />4. _____.h_________.._....____.__.__..........___. . ( Leave Blank) <br />5. ._...n________.________.________.__............. <br />I Prom.______h._______.tO.n...h.......... 1. <br />-2; -__===vears==:::-..:-:months. - - - --- m_ - -- --- --- -- ----- - - -- - -- - ----- -. --- -- - - - -- -.- -- <br />3. $'hm..___.___.__mm.__m__mmmmh. <br />4. .....------.------------.---...--............... (Leave Blank) <br />5. h._____._____._..__......_...___._____.n...... <br />1. From..................to..........._._.... 1. <br />2. ____________ years______________months <br />3. $............................................... <br />4. -------.---.------............-.................. (Leave Blank) <br />5. ................................................ <br />l. From______.___________to_________.___._.._ l. <br />2. ....._______ years___.___.....__months <br />3. $_____..........__..____..__.................... <br />1. ---.-------------------------.-------.--_......- (Leave Blank) <br />5. ------....---------------------_..-......--...... <br /> <br />Give the names and addresses of five persons, employers preferably, not relatives, who have knowledge <br />of your character, experience, and ability: <br /> <br />1. ..m...___________._.n______nn..___n.__________...n....._______.___..mm.mm...mmmnm....mnmnnmmmn........___.........______..__..........__..__......_... <br />2. <br />3. <br />4. <br />5. <br /> <br />__________________n__......_______.__.h____..n._______.._...nh_______.n_........______.n..n_nn.....n.nn.............nnn.....n...n____........____.._.........._.......____ <br />, <br /> <br />I hereby certify that this application contains no willful mis- <br />representations or falsifications, and that the information <br />given by me is true and complete to the best of my knowledge <br />and belief. I am aware that should investigation at any time <br />disclose any such misrepresentation or fal~ification, my appli- <br />cation will be rejected, my name will be removed from the <br />register, I will be di.mis.cd from the .ervice. <br /> <br />Clifford H. Stone <br />..........h.m....m......(.s;~~.i~;~.~(A~~i;~~~t.jm-............._.......--....-.... <br /> <br />12/19/49 <br /> <br />..(0;;;;) <br /> <br />DO NOT WRITE BELOW THIS LINE. DO NOT DETACH <br />
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