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~~ ~~ ~~~ <br />4. ' "I und'e'rstand that s~Ea~t-~fients`'`in"~}fe <br />of a and that false Statements made <br />m sdemeanor pursuant to Section 18-8-503, <br />a ~.(nn <br /> <br />~' <br />^^AA~~t~~ ~ <br />:;Yr~, <br />ider <br />ass 1 <br />Gi;~!~iu~~~ <br />..~ <br />addl"icatton arA'ff~fihg made <br />herein are punishable as a <br />C.R.S. n <br />Signed and dated this ~7LH day of JHNUARuI (~~_ <br />Benson Brothers Truck S Equipment <br />Applicant/Operator <br />BY : ~ .. <br />Title:Dvig t D. Benson rner/Partner <br />By : -..~ <br />Title: T. Edward Benson Ovner/Partner <br />State o r~,~~aan <br />> ss. <br />County of Delta ) <br />2? ~' ? ~~ <br />If Corporation Attest (Seal) <br />~~~ J <br />By: N!A <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />he foregoing instrument was acknowledged before me this 2r~day of T(~n~, Ak'.~~J,~ ~~i'`j <br />~y ~L~ D 7, dS ~~C~~iLO ~~.2~rtA-?.1~ of ~~~ta~~f»~ ~b~^~'-f1LQ~~;~.~ <br />.kPaY•PU6 t <br />2p: ~~i~, Notary Publ i c <br />KAREN L 1t <br />BENSON To 'y Commission Expires: ~- Q - ~`~ <br />OF <br />2823E (02/05/93) <br />