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• <br />-5- <br />4. I.understand that statements 1n the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. .,,~ <br />Nn ~/ ~' •GRETE. C~'•. <br />Signed and dated this ~? day of ~1 ~l ~/ ~~ ~Z ~ ,~~~ ~i~ ~`•.; o <br />:-, .<~ <br />o. <br />L`~: r C <br />~' ri 1 T''' q r <br />Transit Mix Concrete Company ~ ~' ~ ~ .•'~o <br />•'•,1 j ~ .. ... • ~, . <br />Applicant/Operator If Corporation Attest•.,~;5p3~1j`~,.••' <br />Title: /i~ee.,.~,o.~~ C rporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of Colorado ) <br />55. <br />County of E1 Paso ) <br />• The foregoing instrument was acknowledged before me this 2? day of ~/~ 9 ~ <br />by ~~R~ C. /~~n~k•-~ i2 as ~~„~,~.o of i!1•~~.~9 m,. ~.~,ne~ C> <br />• ..~,~ - <br />Notary blic <br />. r~t`~ My Commission Expires: ~/5/~'Z <br />,__. ~ - <br />.~.; ~" <br />(04/92) 2823f <br />• <br />