2016-04-06_REVISION - M1987113 ‎(3)‎

• Permit No: M1987113
• IBM Index Class Name: Revision
• Doc Date: 4/6/2016
• Doc Name: Request TR03
• From: Bestway Concrete, Inc.
• To: DRMS
• Type & Sequence: TR3
• Email Name: MAC
• Email Name: WHE
• Media Type: D
• Archive: No

CONTRACTOR:
By: Perry S. McKay
ATTEST:
STATE OF
)ss.
County of „ , , , . )
The foregoing instrument was _acknowledged before me this k , day of
2015 by '' (" , , as
of
WITNESS my hand and official seal.
STEPHANIE L. HUSS
TARY PUBLIC
(SE# OF COLORADO
NOTANY IOM 20024027288
MY COMMISSION EXPIRES AUGUST 23,2018 Notary Public
My commission expires:
10