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.TUN-12-06 TUE BT :47 AM CHRVERS ~ 303 6595223 P. 1T <br />' ~ .' .. <br /> <br />fe mada Tg tbere is not aoffmient waca for thn general etatemmt reatircd by section l o! tha a<4 to7rtber atata- <br />ment may ha attached hereto as appeadnc "R" Any each add'itiooN atatemaar in eha totm et an appendi:'mnat <br />/a typowrilGn or written with ink aad neon paper o! the dze Of this blank). ' <br />,. Doted...-3aaua9Fy^ji_~_._.._-..,._ ............. 39.2. <br />. Atlmowlcdgmant for lndiddtrol - , <br />9TATH OF COLORAD0. <br />se. <br />Canntyo!_.:..Welq"`...._..y........_ •, ~ . .. <br />lielore me. -..T~4Sr./.~ 'S.~~._.., a Nolary poblic in sad for acid scanty of rid etetq <br />peraoaaliy appeared W . A a...)Qfllls?1Q9......, who_i8.._....pycaonaTly known to ba the petaon ahoea nsma..stt....,. <br />anliacrilied b the !ongoing eapplemental afatemmt, whe being Brat da)yeworn npo¢ oath 8aposa.9_ anSae, • ~ ''+ <br />n .- 'X <br />~ :.. <br />that fhe !note set forth in said anpplemsntal ^tatemwt arc ttuo, full and complete, end tbai..Y:hC~.._.,.~; <br />mode ant aigaad the above forogelag etetement is eomplieaee with the atatate in each mee trade and p~rovldcd._ <br />' Snbeeribed and ewom to before me thb..._._._!~ ~__~_day .A. D.1'Y~~' <br />NS eommieaion expcac".FLIA~!%1~ ~/~~ij~L, - --.- - •._.•:.- .' +y'~ <br />' ~~~ r <br />,. .'. _.. .- ... ~ ..... - Notary rublia <br />' ~ .. <br />I <br />AekaowledgmeaL fos Cotporatloa <br />STATG OF OOLORADO; <br />Comly oL_..___..___.~....__,-_....__..._ ss. <br />Actors me,_._.-..-.-~.__.__...-----.-.-' <br />s Notary rnblie !n and for avid county and state par <br />eonaliy eppenrcd the Psesideat____....__..._.....~___.___._._...._ sad 9eeratsry_.___-_,___...._..:.. <br />of The.,r-_._-.--._--_..-_---.--.^~.___~~_,_Compnny, PetsoasIIy known to mo to bo the . . <br />petwaa whesa nsmea ara eabeett3od to the lorego[ng eapplomoatsl etatemeat, who each boing 6mt duty sworn <br />upon oath depoaee sad says, each foi himsolf aad not ors foe tbs other, that be is the President end &otetaty re- ~ ' <br />epeotively of tha acid corporation aad that tho fae4 rot fgeth is said eepplemantal statement ste true, tall end <br />compieta aad that they u aaoh Praddeaf and Seryefaty, tra~aotirely of the sold eotpotatiog made had sinned _ <br />tfieiaid snpplementat'"ita'lemcnt in eempllana with the statute is eae~ ems mada -ad pnvida$. , <br />(CORPORATE 6EAL), ' <br />I'rosidank <br />8aerotary. <br />, <br />SuMeribed and awom to before the thla_.._:._,......_.-__._._._day oL._._.._.._...___.._..._..._... d D. 19,.Y.. <br />1fY colnmireion'expiret_....;__....._.::.........._....~__._. '. <br />~, Notary Pablia _T <br />