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r' •. , 'i FORM NO. C-5000.1 <br />FOR U3E W ITN COLORA. AON AMERICAN LAND TITLE A680CIATION OO.,..n__.! POLICV-FORM B- f970 (AMENDED /0•I7-701 <br />SCHEDULER <br />Amount of Insurance $ 2 08 ~ 500.00 Policy No. CO-473822 -C <br />Job No. 785301 <br />Date of Policy October 6 , 1981 at 8 : 00 0' clock A.MSheet 1 of ~ <br />' 1. Name of Insured: V . PAUL MOLTZ <br />' 2. The estate or interest in the land described herein and which is covered by this policy is: Fee <br />3. The estate or interest referred to herein is at Date of Policy vested in: <br />V. PAUL MOLTZ <br />10 <br />