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DDH Form No. 790 <br />B00!( ~3 PAGE~Z <br />PIT IDENTIFICATION <br />STATE DEPARTMENT OF HIGHWAYS <br />DIVISION OF HIGHWAYS <br />STATE OF COLORADO <br />(Slgnatu e)' <br />Robert G. Lucas <br />Type Name <br />Materials Source Specialist <br />(Title) <br />*a* <br />(Mortgagee <br />By <br />(Signature) <br />(Type Name) <br />Address) <br />**~r <br />4lm. J. VanValkenbu <br />OWNER(S) <br />(Signature )J <br />hel.er. P.. °ug?~e.s _ <br />(Type''ieauieJ <br />By <br />(Signature) <br />Type Name <br />.~* <br />STATE OF COLORADO ) STATE OF .cs?~so ~t~'~,~:~~+~'~r°;'} <br />)ss. / t~,~a.. r .. <br />County of (11es w ) County of %JCt-/~~~'~'~y~~ ~' <br />... '~. ~. <br />The foregoing instrument was acknowledged The foregoing instrume~4t wasl dJcndwledged <br />before me . this ~ o day of S4 ~t~, be ~ re me this /r% ~~ ~s~(8f; _z~i s ~cL~-Z-U, <br />19~i.-bY.C-: 'T(~m,~~~,r ~" r - CL ~ c <, s e nd -- ~ . 19~, by - J and <br />Wltr:ems-m'~,~-rca~,Ganc~..gfficial seal. Witness my hand and officiar?s'eal. <br />My.Cninm~.s'~~4R ~~,p}r'~s , 19_. • My commission expires r1- ~~ ,19 ~G <br />/J~yJ.Ocinmi:CCn £;r-gyres hicrch'257933 C ~/-/~ l/~/ <br />`, r ~l/Yw4~~~ ~~• ~].U A fit" a ~Q _- J <br />Notary Public <br />DISTRIBUTION: <br />Original - Dist. Matls. Engr. (For Recording) <br />1 - Each Owner <br />1 - District Engineer <br />1 - Design Engineer <br />2 - Dist. Const. Engr. <br />1 - Dist. Maint. Engr. (Maint. Pits) <br />1 - Each Holder of Mortgage Deed <br />Notary Public <br />Page 2 of 2 <br />