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, . � <br />� � Return Addras• � � 27 <br />� o �� <br />� 11� <br />Please print or type information <br />Document fide(s) or transacHons contained thenin: <br />,. G c�V �2w,� w � <br />z. <br />3. <br />4. <br />name flrst, then tSrst name <br />I. �v�.�n ` Sa�McS C^ <br />2. <br />3. <br />4. � <br />Additional names on page � of document. <br />Grantee(s) (Last name first, then first name and ini <br />1. �J �`' ►1J 1..� � J,� %{.(�L.a.� � <br />2. <br />3. <br />4. <br />Addirional names on page __ of document. <br />Additional <br />� <br />�r'm�s��rr�r�r� <br />p300032RECORDED3 � S�ountYSl�, <br />on �aoorev�a[ea: �.a rot, oiocK, p�at or secuon, township, range, qtr./qtr.) <br />,gLK O�D -�o- Go-T 89 cEss wD 33Y/589 Ta <br />cvey oF E✓ <br />il on page _ of document. <br />iber(s) of Documents assi¢ned or released: <br />Additional numbers on na¢e of document. <br />_�� `�k���. �.�...��. <br />UL .. .- �c 5 _. 6� <br />Property Tax Parcel ID is not yet assigned. <br />Additional parcel numbers on page _ of document. <br />The AuditodRecorder will rely on the informarion providcd on the form. The Staff will not <br />document to verify the accuracy of completeness of the indexina informallon. <br />