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DOH Form No. 790 <br />STATE DEPARTMENT OF HIGHWAYS <br />DIVISION OF HIGHWAYS <br />STATE OF COLORADO <br />(Signature <br />Robert G. Lucas <br />Type Name <br />Materials Source Specialist <br />Title <br />aarw <br />Mortgagee) <br />By <br />(Signature) <br />(Type Name) <br />(Address) <br />*** <br />STATE OF COLORADO ) <br />)ss. . <br />County of p?e_r w ) <br />The foregoing instrument was acknowledged <br />before me this L day of ~~, <br />19 ,~~-by--. ~atipr ~ ~ Gtisel and <br />and <br />Witness my hand and official seal. <br />My commission expires <br />19 <br />My ~;Corunissioa. E.rpires:A1 ~ 25;~ 19 ('' ///r ///1 <br />Tr 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 />' ' •' l .. <br />BOOK ~~ PAGE .~5~ <br />. PI7 IDENTIFICATION <br />4Jm, J. VanValkenburg <br />P-ino 7 of 7 <br />OWNER(S) <br />BY '~z,•n,~..., ~ ~cic <br />(Signature) <br />Thomas A, rasthou <br />' _ (Type N?mr. <br />By <br />(Signature) <br />(Type Name) <br />xx• <br />STATE OF COLORADO <br />.s s. <br />County of T~,g /L /mGe ) <br />The foregoing instrument was acknowledged <br />before me this ~.L day of , <br />19~, by ~~o h, n S Q "~ and <br />and <br />Witness my han3 anti official seal. <br />My &o issi ,19 <br />e! `~"«xmissYo~ ~r~sr~S~gasE~ 18, }9~6 - <br />38331L ~F• 281, f •~ LaPOrte~oion n~\ ~ ., <br />.~"' ti S ' <br /> <br /> <br />~ <br /> ~ <br />~~`~ \; <br />'• Q ~ <, <br />~ <br /> <br /> <br />~~ • ., . . . <br />