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JUN-12-06 TUE 07:45 AM <br />~ . . <br />• ~ , $LXI'PLEMENTAL~ ST.l3TE~,~NT~. <br />(Act of epn7....-...-•--.-.^ 1919) <br /><• / <br />Hater Diatriet Na._.~.__..__, ~ Ir+igatlon DivLdon No..rl..-_,/.._. / y /. <br />• VPater l?]ling No_."l...i?e,~,~..:G_ ~ Per1C%(R[L,~~Ff,R~e~..r/~/ <br />. vPp 7-._...._..i._,...._.._._....._.._,.- ............._.__: •:UngGa'7-0laimani:ra ~ ~.t'~ ~i J°-5 <br />In tefnplienoe with tho lorma and provisions oL °da det u make farther pFOVisiotu for wetting geiotity of <br />righu u vas of wntai !ot irrigation and other beneficial patpwcs," Dy the ~avaral dnemby of the Stan of. <br />Colorado, apymved App 9th, 1919, she nnderaigwd hereby Dukes flm folloxing aupplemoatal statement eon- <br />aerning th¢ ebovo described elnitn of appropriation hextofors tiled is the oSue of th¢ State Evginwe of the <br />• , 8tsu oL Colorado <br />FI1tST. The acme or aemea sail reayeotiw postoAce addrossa of the penoa er persons, eotporatiaa ar <br />eotpotaiione, or elaimoate desiiine to claim a eontiaaenre a! the rights oleimed +mdar the abew entlf]ed 81tag ors: <br />} <br />Name --11111flA..~....RAl1t1Q.0:._---`--.,--._.;Jddrw.....h'.Gl,'4JaV.P.SGtIr.~•'A191'edO•__.:_..-,_:. <br />Name_...:._..__.._._._.....__-_,_..,....____^_.__'-..,.._,-Addreb_-'_^'_-.,.-.w....._...._._..~_._..__........_.`_.._ <br />3E001`D- The Daderaignad assert ri66ta es <br />Bmedsor !a tiLla <br />• (Erase aeoordfag to fneti) <br />Ttt1a wan derived throvgbtha follewiag eonvsyaaew:.,,.-~_.~_.._.,....._.-.___..._..._.,.,____.___._,- •' ' <br /> <br />GaaNi08 <br />GRANTEE DATE OF <br />CONVEY- <br />pO.RTOP£[CR ADDREFi9 <br />OF GRANT&& RECORDED Di <br /> <br />ltfl~ <br /> ANCE C0. REOOEDS <br /> <br />~.T_..~14R~.184fl • <br />8j,111arn l Hell ~ ~ <br />~! W17 8ook_ Pete_ <br />111 <br />(ORIGDSAL CLAIMANT) ' <br /> <br /> <br />__. ~ .. <br /> <br />' .~ <br /> <br />