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OFFICE OF S T A T E ENGINEER AFFIDAVIT OF COMPLETION OF WORK STATE OF NEVADA, ) >- ss. County of 0LA23& ) BEFORE ME, Personally appeared___WCtSfc'M H» WlhQMlM-__________________ the subscribed, who being duly sworn saith^ that at le a s t_BtHht__________ _______________________ d olla rs ($ QQ0»Q0 ) has been expended in work or improvements performed or made under the conditions provided in Permit No. ICMmSP , in the completion o f said works, and at the expense of the applicant. Said improvements consisted nf f f l l l Ot pQiftfe 01T 01.VO£*3.1 OH to a depth o f ttm m tartafty*ttawo (333? t o o t o a a te g is o lt e w ith 41 f o o t o f 10" mid 2 ?o f o o t o f 6 5/Q” otanflaaNI S le e t RMfohnrtb t-ioii Cosing| and e a n tro l w l r o a t ton o f c a s in g A l s o t& tt c£ 3W oast ir o n pip& 11m f v m to p o f w e ll to piapo o f m o t 0 „ D o th “ c a m t ” ‘ ' ' y Permit No. 10430 and were made at__ O f being work essen tial to the actual diversion of the water applied fo r and in the completion of the work required under said permit. Said improvements were begun p rio r to. $Bt>* S3 19. 41 and were completed prior to. t o # SS 19. 4$ !A3 W LARD JKD WAfSIt CCKPAHT By I WALTER R. BRACKEN -----u - v:.<« ?-xu icait; ^ i r oant Subscribed and sworn to before me th is_6*h_day of Soptorbo* 19 40 A. M. FOLGER Notary public in and fo r the County o f ., State of Nevada. (SEAL) My Commission e x p ir e s Sep 27 1941