2012-12-31_REVISION - M2008001

• Permit No: M2008001
• IBM Index Class Name: REVISION
• Doc Date: 12/31/2012
• Doc Name: SO APPLICATION
• From: OPERATOR
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

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Document Processing Fee
Ifdouunuwtt is uupspei. 560.00
If document is filed electronically: Currently Not Available
Fees are Subject to change.
Por electronic filing and to obtaZa
oupio-s uf duourneuts visit
WwwP aoa atfd@_co ,th`
Deliver paper clocuasento Le:
Colorado Scorcraty of Sotto
Business Division
1560 Broadway, Suits 200
!Aiwa, Cl.) SU2O2 -5169
Paper docitatenta mud be typed or mashies printed.
Statement of Meth
filed pursuant to §7 -90 -301, et seq. and §7 90 203 Colorado Revised Statutes (C.R.S.)
1. Entity name or true name of oaoh
merging entity:
Entity name or true name:
Fuuu of Cerny:
Jurisdiction under which the
entity was fortified.
11) number (if applicablo):
Principal office street address:
Southwest Ready -Mir„ Inc. of Pueblo
(Enter nume exactly as if appca►r in the records oldie mercury estate #1 applicable)
Form of entity: corparatton
Juriedictiort under which the
entity was formed:
ID number (if applicable):
Priw:ipttl maim street address:
Colorado
18871848338
2143011h Lena Highway 86 Erie!
Pueblo
(City)
OLS61196O6-moJe WCll ;60 POOZ -10"41N penieoei
(.Sthwz name hnd nambnr)
2 i
Attova aPACLi MIL or,'u plc mem
(province - f TX: able) (Cooney - Dior US)
Co. 81006
i (Posed/Zip Code)
(Province -if applicable) (Count y- four U3)
Principal office mailing address:
(it elifrrrrmi from above) (Street name and lumber or Poet Office Boer kformosion)
(Mate)
(Y Code)
(Enter name exactly at it appears in the nmadrofthe dc4rotsry ofefute if upplicuble)
(Street name and number)
Rev. 111.020154
1of4
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