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I /, ..,;~ .,,`._. ..` ,. ., ~~~~ ~ III IIIIIIIIIIIII III ~ •'~ ~., ~. '... •,, .. ...i':i.:. ~~ ~ .~,~ t <br />The Owner hereby warra is that .... sus ____e to t e above described pre- '{1 1 <br />raises; that he has the lawful right to grant this Option, and that he agrees to j <br />hold the Department harmless from any and all claims from others asserting any <br />interest in the subject land. :,i <br />Additional Conditions Sec Attached <br />whi~te //Rive/r~Aggregates, Inc. <br />DEPARTMENT OF HIGHWAYS, STATE OF COLORADO ~G`t'~~~'~~''~'L'~~ <br />(owaer(s) - Insert as appeaz(s <br />above)) <br />gy; Q`om'-rY}] /-~!`.~'c-,-,,, Bv: <br />strict CjateriaTs cngi~neer <br />Bv: ~• <br />ALP:el .. - - ..' .. .: ... .... ':~'' <br />llISTRIBUTION: .. _. ~ .'.'.1 _. __. <br />Original - Design Engineer <br />1 - Owner or each Owner <br />1 - lSetezials Engineer - Denver <br />2 - Construction Engineer - District <br />1 - Maintenance Engineer for all State Forees Projects <br />1 - District Materials Engineer <br />#*~Ir*tt***** <br />STATE OF ) <br />SS .... ... ... ' .. <br />COUNTY OF ) , <br />The foregoing instrument was acknowledged before me this day of <br />A. D. 19 , by <br />witness my hand and official seal. <br />My commission expires <br />(SEAL) <br />Notary Public <br />(Original to be acknowledged and recorded if, in the opinion of the District <br />Engineer, there•is possibility of transfer of [hc premises or quesCion of title. <br />Refer to D. O. H, t•temo No. 418, dated April 7, 1972.) <br />Please attach plat of pit area. <br />Field Sample No. <br />Page 2 <br />