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Jul l8. 2003 5:18Pk1 Hale Hackstaff Trmkovich <br />' No.0710 P. 3' <br />Structure Owner Si nature. Date <br />State of Colorado ) <br />ss <br />County of`-~+ers~N <br />e foregoing Instrument was acknowledged before me this a k ~ day of <br />~___I~_____, 2003, by Sally Budcland as structure owner. <br />My Commission expires: /a~,~~l~D3 <br />KAIHYJMhFS <br />2 <br />