Laserfiche WebLink
1 <br /> <br />-5- <br />4. I understand that statements in 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 />'Signed and dated this ~~ day of 9~•/ <br /> <br />1 <br />1 <br />' State of ~'A-Q.f?il~_) <br />County of ~vww~' ) <br />1 <br />The fCoregoing instrument was <br />tby -'~ <br /> <br /> <br />' 2823E (12/92) <br />1 <br />1 <br /> <br /> <br />ss. <br />`~^'c' <br />If Corporation Attest-•CSQa'F-) -~ <br />By: <br />orporate Secretary or Equivalent <br />ToNn/City/County Clerk <br />ackno ledged before me this ~ day of <br />Notary Public <br />My Commission Expires: ~ ~ ~ <br /> <br />