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FORM NO, C-5000-I <br />FOR USE WITH COLORADO REGIO~RICAN LANb TITLE ASSOCIATION OW NER'B ~-FORM B- I 70 (AMENDED 10.17.701 <br />SCHEDULE A <br />Amount of Insurance $20 , 800.00 <br />Policy ~io. 6813207 <br />DateolPolicy September 8, 1983 at 11:39 A.M. Sheet ~ oI <br />1. Name o(Insured: <br />JOHN D. SCHMAHL and MARILYN M. SCHMAHL, as joint t <br />2. The estate or interest in the land described herein end which ie covered by this policy <br />IN FEE SIMPLE <br />3. The estate or interest referred to herein is at Date of Policy vested in: <br />JOHN D. SCHMAHL and MARILYN M. SCHMAHL, as joint tenan <br />