2014-12-17_REVISION - M1994114

• Permit No: M1994114
• IBM Index Class Name: Revision
• Doc Date: 12/17/2014
• Doc Name: Conversion Application
• From: Kagan and Son, LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: TOD
• Media Type: D
• Archive: No

�. Debbie Livengood
Custer County 205S. 6th Street/P.O. BoX150
`Westcli e, Colorado 81252
Clerkand Recorder Office: [phone]
k, R Fax: [phone]
December 8, 2014
To Whom It May Concern:
Please accept this letter as receipt that I, Debbie Livengood, Clerk and Recorder for Custer County is in
receipt of the Conversion Application for Kagan and Son, LLC(Permit#M 19 94 114).
ebbie Live ngood
Custer County Clerk& Recorder