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<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 JHNUAI2~ 1449 <br />Benson Brothers Truck b Equipment <br />Applicant/Operator <br />By. <br />Tit1e:DWi t D. Benson ner/Partner <br />By: <br />Title: T. Eduard Benson Owner/Partner <br />State o r,,,,,~a~~ <br />ss. <br />County of Delta ) <br />If Corporation Attest (Seal) <br />By: N/A <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />~he foregoing instrument was acknowledged before me this 2zµday of TgNUA~~ 194 <br />by t,t ~ . as Lp-L)_YjLQJY.L hy2~rtQi)1~J of ~ z~ e9s~ ~B?~GG~a-rr~ <br />c7 d `~~~ ~cudz- TJ <br />`~i Q/111JY1 `~ - ~~e~no-en-J <br />o~P~Y~P~~i.. Not y Public <br />KgpEN L I <br />B~~ I c y Commission Expires: q ~ - 95 <br />2823E (02/05/93) <br />• <br />