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Home My WebLink About20002124.tiff RESOLUTION RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO AMERICAN CANCER SOCIETY, ROCKY MOUNTAIN DIVISION, AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, American Cancer Society, Rocky Mountain Division, presented to the Board of County Commissioners of Weld County, Colorado, an application for a Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, said applicant has paid the sum of TWENTY-FIVE DOLLARS ($25.00) to Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, for an event scheduled for ONE DAY ONLY on September 16, 2000, at 5:00 p.m., to September 17, 2000, at 1:00 a.m., outside the corporate limits of any town or city in the County of Weld at the location described as follows: 28499 Weld County Road 17, Windsor, Colorado 80550 Being more fully described as part of the SE1/4 of Section 8, Township 5 North, Range 67 West of the 6th P.M., Weld County, Colorado WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant Special Events Permit Number 2000-12, to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which permit shall be effective from 5:00 p.m. on September 16, 2000, until 1:00 a.m. on September 17, 2000, providing that said place where the permitee is authorized to sell malt, vinous, and spirituous liquors, for consumption by the drink on the premises only, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit. e • 4, p/, S© 2000-2124 LC0022 SPECIAL EVENTS PERMIT -AMERICAN CANCER SOCIETY, ROCKY MOUNTAIN DIVISION PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 6th day of September, A.D., 2000. BOARD OF COUNTY COMMISSIONERS W D COUNTY, COLOR DO ATTEST: ""'""`1". ‘ / �--' — Barbara J. irkmeyer, hair Weld County Clerk to the Board Zit J M. J Ole, Pro-Tem BY: 1 y` 1 Deputy Clerk to the Board / �" � � org\ E. Baxter 7 \ APPRfSVED AS T ORM: Dale/5. Hall - 1, " -2- I, --A___-___ CoGngAtorn y Addyeac _ Glenn Vaad 2000-2124 LC0022 2000, at 1:00 .r. .m. THIS LICENSE EXPIRES September 17• , LICENSE FEE - _ A ✓- /ee 2F A � � N.✓ 4WkS �8 _ , STATE OF COLORADO COUNTY OF WELD BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS RETAIL LIQUOR LICENSE FOR Special Events Pexmit SPECIFY Retail Liquor Store,Liquor Licensed Drug Store,Hotel and Restaurant,Club,Tavern,Etc. TO SELL AT RETAIL Malt Vinous,_ and SQi_rituoun LIQUOR Certify, KINDS OF LIQUORS s S to Certify, That_ _ -. _ American Cancer Society, Rocky Mountain Division of the State of Colorado,having applied for a License to sell Malt, Vinous and Spirituous Liquors, and having paid to the County Treasurer the sum of Twenty—five and 001100 ($ 25.00 )Dollars therefor,the above applicant is hereby licensed to sell _ Malt, Vinous, and Spirituous Liquors containing more than 3.2%Alcohol by weight by the drink for consumption on the premises only (Insert"by the drink for consumption on the premises"or"in sealed containers NOT for consumption at place where sold.") as a Special Event at 28499 WCR 17, Windsor, CO 80550 in the County of Weld, for a period beginning on the 16th day of September, 2000 at 5:Q0 p.Ul and ending on the 17th _ _ _ day of Septembers 2000, at 1:00 asta,unless this License is revoked sooner as provided by law. This License is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 47 of Title 12, Colorado Revised Statutes,as amended. TESTII'IONY` HEREOF,The Board of County Commissioners has hereunto subscribed its name by its officers dt duth9ri)ped tAs/ Si _ _4yty of September 00Q kinati ATTEST: A�Vv T e Board of County Commjssioners Deputy Clerk to the Board _ B Chair,Board of`Coounty mmissioners V DR 8439 (06/97) 21 COLORADO DEPARTMENT F REVENUE APPLICATION FOR A LIQUOR ENFORCEMENT DIVISION 1375 ERMAN STREET DENVER CO 802E�1 SPECIAL EVENTS PERMIT DENVER (303)205-2300 I IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT,YOU MUST BE NONPROFIT i AND ONE OF THE FOLLOWING (See back for details.)��,// V CHECK ONE: ❑SOCIAL .L�SICHARTERED BRANCH,LODGE OR CHAPTI_R OF A NATIONAL ORGANIZATION OR SOCIE TY ; ❑FRATERNAL ❑RELIGIOUS INSTITUTION . ❑PATRIOTIC ❑PHILANTHROPIC INSTITUTION El POLITICAL ❑POLITICAL CANDIDATE ❑ATHLETIC ❑MUNICIPALITY OWNING ARTS FACILITIES iI DO NOT WRITE IN THIS SPACE LIAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: • DO NOT WRITE IN THIS SPACE : 2110 ] MALT,VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY LIQUOR PERMIT NUMBLH 2170 ❑ FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY 1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE State Sales 1 as Number rRequire,: rfc vi cc r7 l'k17C' t `cos I 4v ,Roc.k\.) ly?4r) DtOts,o.L _ .. - 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (include street,city/town and ZIP) (rn•;Iude Street,city/towr•and ZIP) ')r' -5,J S. O n e rciet Ctc;: f. $zt49 L,LI_ ki t.o(.4./T1 y ket t '/ -1-- Q nt) . r , e0 o , Pic) ',:)‘_'5-.5e.) NAME DATE OF BIRTH HOME ADDRESS(Street,City,State.,ZIP)' PHONE NUMBER 4. PRES./SEC'Y OF ORG.or POLITICAL CANDIDATE 5. EVENT MANAGER 1 y j'` r } 1 c. -'>`h NC!�Q IV y la v �� r3(G, '� J�L'C# a r)y co �'o , it Al y') ) 6. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN 7. IS PREMISES NOW LICENSED UNDER STATE LIQUOR DR BEER CODE ISSU A SPECIAL EVENT PERMIT THIS CALENDAR YEAR? NO El YES HOW MANY DAYS? NO YES TO WHOM? - 8. DOES THE APPLICANT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED?BYes ❑No LIST BELOW THE EXACT DATES)-FOR WHICH APPLICATION IS BEING MADE FOR PERMIT �— • — Date 91;k,j acv., ' Date Date Date Date I,ours From .07,— r ,.m. Hours From .in !tours From .rn. Hours I rum .m. Hours F"•n To / A..m. To .rn To .rn. To .m. to OATH OF APPLICANT 1 declare under penalty of perjury in the second degree that I have read the foregoing applicatiori:and all attachments thereto, and that all information therein is trite, correct, and complete to the best of my knowledge. SIGNATURI` /e TITLE —1/0../61dti ' - ( t I.) In/M.1OI/y ocz,c/UPij-1,i.?/ ,`-�l�xr_ '/ :3 f 0 REPCiRT AND APPROVAL OF LOCAL LICENSING AUTHORITY �Mn� a� NTY) The foregoing application has been examined and the premises,business conducted and y"t. • - .� ant is satisfactory, and we d©report that.suth permit,if granted;wilt comply with the provisions of Title 12, le iti t C a 4ded.• • THEREFORE,THIS APPLICATION IS APPR D. Y LOCAL LICENSING AUTHORITY (CITY OR COUNTY) El CI TE � � r : G' `�,s • • • CL ERK Weld Count Colorado F �� V SIGN RE • L. TITLE/ t3 ara T. K MseN� wuriii IN uy 1 Ot Q - u THIS S ACE- FOR DEPARTMENT OF RE R y 1' •► Y .LIABILITY INFORMATION • • Llc eeAatoutt<t NuMber Liability Date State TOTAL -750(999) _ (Instructions i n Reverse Size) LCC62Z 2000-2124 SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT 1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)? i 2. Explain in detail the nature of your organization, its function, and who or what benefits from its operations (attach separate sheet if necessary). <,�� c</cc,r:_' L _ (>z1.4"0247x3+! '? /214 �. _� r _r_> Pt!in L..)j[._,7_; :>C.e�it .< rr� 615=L/rJi 116,,14 Yl (c)(_A nitzrei itK C111( :< L. C ft, c t' , nrl I O < t,_kQom_ 3. Who or what organization will be the retipient of funds derived from this event? /I)lr cco77 (Vii ,iii. <�OC,�Y. )�r — —4. How many attendees are expected at this event? _ L V�� j 1 ', � c<' 5. Describe the premises at which this event will take place. _ C''J ! IL __ _' 6. What type of security will be provided at this event? L'i(y lcu-e,neC Pa_ ,C!}� Zit t�L (14_,/' +/.4.4 �'}lei{ c�'-1 .? &cc. _— � (n:C ��.F Zr f c 7 7`= '' 7. How many security personnel will be on hand? 8. How will security personnel be identified? c Lip,c l 4 C_r�;7 �' ,�„_,. ,'rpm l CA 9. If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped, fenced, etc.)? 10. What type of entertainment will be provided, if any, for this event? • 11. What method will be used in checking identification for proper age of attendees (e.g at the door, at the bar, etc.) and how will underage patrons be identified so as not to he served alcoholic beverages (e.g., stamp or mark on the hand, etc.) ), y, r ) 7 /1'-'1�1in_ i _C�< (.2< a� 7 ''. ( i C , t ( r)( ')l c.'4, ),Lf t (.. /i'-.-K:SHELLS)FOSPECEV r _ , (< - 'i i ��2.L 1. LI. i)it ce �s� .. „1 ' .�-. 12. How will the conduct and level of intoxication of attendees be monitored and by whom? 4 CI-- l7 Cie ,. - i ij A (y 13. Have volunteers or members of your organization been trained in the sale/service of alcoholic beverages: If yes, what training have they received and by whom? �C: a 1)/< L>ick Z„ ; /L1O ,'/Of Xt rl ((: " < (.?, ct — �ZE 2L l C?� Y2.r.7) (is »itr' -(L') 1u_n eL_ :'Z,�{�}E_: ( ( , _<_ 14. What types of alternate beverages and food/snacks will be available? (--"N fi4.1 S. ' <° �: (t1 cip L /p-St < _ '�/ ( k (/l , mil. 4 <&' , / V i:s)1(- C_ r / z A6, //, 15. Has a State Sales Tax Number been initiated by you or a member of your organization? If so, write that number in the space provided. 16. Explain how this event will be marketed describing what kinds of advertising material will be distributed and the targeted recipients of such material. —1 L7L: / /lCk rc.:pC.. 9 7, 1-4 I hereby certify, under penalty of perjury, that the information provided to the Board of county Commissioners of Weld County contained in this affidavit is true and accurate to the best of my knowledge.) 7 _ L (JL 22 c - 1 a I- / Applicants Signatdire Date STATE OF COLORADO ;SS. COUNTY OF WELD aO4'`"' scribed and sworn to before me this /Ill— day of_ �:.. 1991 �> ' Witness nil!;Sand and official seal. My commission expires: z Notary Public K:\SHELLS\FOSPECEV _ S7U ' I Al(a / zu ix/ 7IA. N 0 Xli�+ aieS ED a N ' W a wkW s a a �; Tho rn p marts r 30x40 20x30 0 Cook Tent V I Tent rA N_i ;u,;cl en CO p=OC- , i,-ticS Boot Black Exf c o 8�r0 . p . o = �� i auii 15x25 Wrangler O O O 00 00 x0000 a Entrance r-" 28x48 O O X O O X O O 0x O X� ��0 x N.cc Dance 00 O O OOOOOOOO0 to Floor 0 Bank 40x60 c9 00 O 000000000 ref Baron's m rent O 0x000X000X0 Xfx 000000000000 545 0 Entrance A.r 1 J rket 8a P OO o o a yr+ o a A i u ino/Gail uarIxtuct1S ri 100x300 Century Tent Ram;Re_,, cc E M Party Time Rental Y cs 8/16/66 Project Cattle Baron's Ball owner American Cancer Society ca ono w Josh Gamer- 3rd draft Y SC 01 CO 00/25/90 13:25 ACS ACCOUNTING 4 9703569238 NO.004 PP- Cot• • �*. 4 \A� STATE t. -J RADO DEPARTMENT OF STATE CER1'iFICATE • I, VICTORIA BUCKLEY, SECRETARY OF STATE OF THE STATE OF COLORADO HEREBY CERTIFY THAT ACCORDING TO THE RECORDS OF THIS OFFICE AMERICAN CANCER SOCIETY, COLORADO DIVISION, INC. (COLORADO NONPROFIT CORPORATION) FILE # 19871234225 WAS FILED IN THIS OFFICE ON January 10, 1941 AND HAS COMPLIED WITH THE APPLICABLE PROVISIONS OF THE LAWS OF THE STATE OF COLORADO AND ON THIS DATE IS IN GOOD STANDING AND AUTHORIZED AND COMPETENT TO TRANSACT BUSINESS' OR TO CONDUCT ITS AFFAIRS WITHIN THIS STATE- Dated: July 30, 1998 AMERICAN CANCER NANCY CLARK SOCIETY® Community Development Specialist Weld Country&Northeastern CO Communities 970/356-9727 1020 9th Avenue,Greeley,CO 80631 Fax970/356-9238•e-mailnoak@cancer.org 1800-ACS-2345 Visit our wet site at HTF'./MAW/.CANC rio /C /J SECRETARY OF STATE „ op _ New, WATER .r VALLEY "Northern Colorado's Premier Lake Front Community” March 15, 2000 American Cancer Society do Nancy Clark 1020 9th Avenue Greeley, CO 80631 RE: Cattle Barons' Ball Dear Nancy: With regards to your application for various permits and licenses for the Cattle Barons' Ball set to be held on Saturday, September 16, 2000, this letter sets forth the position of Water Valley and Big Cut Turf Farm, LLC. The land chosen for the event to occur is owned by Martin and Viki Lind. The mailing address for both Water Valley and Big Cut Turf Farm is 305 Teal Court, Windsor, CO 80550. The festivities will be held in the southwest corner of Weld County Road 17 and Highway 34, also known as the southeast 1/4 section of section 8, township 5, Range 67 in Weld County, Colorado. This letter verifies permission has been granted by Water Valley, Big Cut Turf Farm. LLC and Martin and Viki Lind for the event to occur at the location indicated above. Water Valley and Big Cut Turf Farm, LLC will have no role or liability in the activities of the event including the licenses or permits. If you have any questions, please feel free to call. Sincerely, / a i ind •Z7 Viki Li (970) 686.5828 *fax (970) 686.2768 * 8200 Eastman Park Drive * Windsor, Co 80550 AUG-09-2000 13:49 FR0M:RICHTER SCALE 3036803777 TO:19703569238-33 P.002/00E lidRIC�iTER SCALE PRODUCTIONS, INC. Sound • Lighting Outdoor Stages August 9,2000 Man Nancy Clark,American Cancer Society TO Fax:970.356.9238 FROM: Sherri for Harold K.Richter REACS Cattle Baron Ball 2O00 Here is the equipment list for the Cattle Baron Ball 2000 that you requested. SOUND REINFORCEMENT • 6 Apogee 3X3s2 loudspeakers • 12 Apogee AE5 • 4 Apogee AE12 subwoofers • Crest VX32 FOH mixing console • FOH Processing including, BSS FCS960 1/3-octave graphic equalizer Yamaha SPX990 digital multi-effects unit Lexicon PCM42 digital delay Behringer Composer compressors Behringer Autuquad gates Furman power conditioner • 6 Apogee AE6 for monitors • A selection of specialty microphones by AKG,Audio Technica,Beyer,Countryman, Scnnheiser and Shure for specific applications • Two Shure UHF wireless microphones • • 6 L-16 lifts • Power distribution system • Communication system • Cabling and hardware to complete system • Set-up,show engineering and strike by experienced engineers and technicians LIGHTING(Includes Intelligent fixtures) • • 42 Source 4 Par lighting instruments • 12 Studio colors • • 12 Technobeams • • 2 Genie towers • Truss • Dimming and control • Power distribution • Cabling and hardware to complete system • Set-up,show engineering and strike by experienced engineers and technicians 1476 S.Eagle Street • Unit) • Englewood • Colorado • 80112 • (303)680-3555 • Fax:(303)680-3777 • www.richter-uale.com C 07/05/00 WED 04:33 FAX 9704190333 WASTE MANAGEMENT p a /( /> 3' W� [22002 SERVICE AGREEMENT / I rlw 28pqq �I NON HAZARDOUS WASTES No. 228130 O y t,U30n__ WASTE MANAGEMENT OF COLORADO,INC. 500 E.VINE DR. FORT COLLINS,CO 80524 (970)482.6319 • (970)686.7743 CUSTOMER ACCOUNT NO. (970)482-449.1 FAX REASON CODE /7o) 4-tea- CXGC E/ �� EFFECTIVE DATE I ACCOUN Q ,1n,(. BILLING Ww� /� (J NAME' ��(� 1 NAME t r Cfue.a{fri LLGYIGQQe4 lC.� te. . - SERVICE BILLING X020 TIL.d .. ADne-i rSS ,-- 1rLS L Un9IRn 9/70- i ADDRESS >>> ��/ , , QQom�//� } � CP ZIP_-- tr' rCH _ -- CITY.ZIP (��eel.e C�7Yi X21 - COUNTY_ CO NTY Z�-7 -7�7 r� �r,� p TEL.# _ �-`• �.li IIIIIIIIIIIIMIWINEMMOSW FAX4 TF eia) -qr/ 2 / FAXk SLi- ��E CONTACT _ CONTACT - EQUIPMENT/SERVICE SPECIFICATIONS _ Loc. System Quantify Size Lids Wheels Lock requency Schedule 3 Route No. Charge's) —_ I I I L Z oc . 00 Win, — ,'Mon_ Ties._ Wed._ Timm Fi. Sal_i$ /} )1 Lry 7 2_ 3,0.,0. Lt I • CE ��-Lt _) Fri_ sat_ $ LC� _c lions t I "i\ ( ._ 1Ln— Man .__ Wed._ Thar_ =rt Sat_ Z,q.2 Co -I'm I I -1 ZF-)j--C ---- ..A ettu., ' eYJ ._ :lies._ Wed_ T.ru _ R._ Sal._ S SC)_cc, n-th Ii Map C a/DrtverNotes: 'mai Mons, ; _ us J � {{C � �lir wed_ Thy_ Fri._ Sat._ $ 1 a2-.CC n, �, I(1 — Mon_ ._ 'Wed_ Thur_ Fn._ Sat_ $ -- Mmn .`—tie t I Mon._ mes._ Wed Thur._ F.9._ Sat_ $ 20. 00 ur _ i ! I a7fr4 it I (i-v 1[R /L_ NET CHANGE $ /570. 00 nrh E SPECIAL INSTRUCTIONS rGYCY S of/I to 4 . i % 'C` i.► t 2 Tatty Woo I i 1. Lack_'I ltu & a 4Q w41y rt u_v i iS bLy �i caw I ly buw5: e t.� ev tu- ' r — __± SCHEDULE OF`CHAA ES CUSTOMER DEPOS.T RENEWABLE_ :Gic ;•.;.• .r.° TERM Sernce Charge per Month _.._ _._. 3 P.O. NUMBER -.� .t , - CasterarLocks __._.__.__ _ _....... $— _ Extra Pick-up Charges : t:....7".:':-.:.4:.- Per Litt _ .__. __.n JOB NUMBER - a° ,�. RECEIPT REQUIRED? _ a s • ... •-• Hauling per Load _._. .. ._ '5—_.._—_.__. TAXABLE ._ SILL'10 ACCT# --- Disposal per Load..____.._._._.._.. __.. $ SIC__ DISPOSAL SITE Total per Load___ _..._..___. __..-S. ®IIIIIIIIIIIM a Delivery Charge______ _.. ..__ _. I THE UNDERSIGNED INDIVIDUAL SIGNING THIS AGREEMENT ON BEHALF Scheduled Charge __.._.__.'6—..—._. OF CUSTOMER ACKNOWLEDGES THAT HE/SHE HAS READ AND Removal Charge._. ...____.-_.__. _ $ UNDERSTANDS THE TERMS AND CONDITIONS OF THIS AGREEMENT, Equipment Rental.____________ __.._S ON REVERSE SIDE.AND THAT HE/SHE HAS THE AUTHORITY TO SIGN ON BEHALF OF CUSTOMER. CUSTOMER 4 CONTRACTOR K___/L 7 ki y C=C i_il — (Ar1THORIZED SIGNATURE) c (AUTHORIZED SIGNATURE) - (TITLE) / (BATE NAME(PRINT OR TYP)i)\' _11JLL_b J -- -- sun i\I / ( TERRITORY NUMBER Do,TE) Ct tic y (111c, :-/'L. Sent By: Party Time Rental; 303 9358731 Jul-24.00 8:08AM; Page 13/14 /7)r OlIle RENTAL, Inc. PAGE -01- NAME: CATTLE BARONS BALL-TODDYS ORDR 4 : 050021 '*w `„20/5 S.Pbtfe River Dr. DELIVER TO: POUDRE RIVER RANCH 4 Deriver,CO 80273 I PARTY DATE: MAP ATTACHED 09/16/00 GREELEY CO II 0631 It % `c FAX(303)935-6731 FLOORS: NST TOLL FREE(800)513-4545 DEL BIN# 'Elapmrr maleferroarSpecial8verd^ P/U BIN# BILL TO: AMERICAN CANCER SOCIETY b, 1020 9TH AVENUE TIME DONE BY: NEXT DAY DEL : 09/15/00 09:00 AM - 09: 00 AM GREELEY CO 80631- 014 P/U: 09/17/00 08 :00 AM - 12 :00 PM ATTN: NANCY CLARK DATE WRITTEN: 11/11/99 BY: JG DATE LAST CHG: 07/07/00 BY: JG DL# PO#FAX 970-353-6606 REFERRED BY : B4 CONFIRMED 2ND ID: CONTACT: NANCY CLARK PH1/2 : / ORDERED BY: SCOTT 970-356-2468 PH1/2 :356-9727 (970) /FAX (970) 356- 9238 DELIVERY INSTRUCTIONS: EASY ACCESS DLVRY QUANTITY QUANTITY ' UNIT TOTAL ORDERED RETURNED EQUIPMENT CRATES PRICE PRICE 12 THERMAL SERVER 3 . 50 42 . 00 6 5 GAL. HOT/COLD CONTAINER 12 . 00 72 .00 2 100 CUP COFFEE URN 18 . 00 36 . 00 ***EXTENSION CORD NEEDS TO BE SAME SIZE AS ***APPLIANCE AND NOT OVER 100 FT. LONG :L2 WHITE THERMAL SERVER 4 . 50 54 . 00 24 PLASTIC PITCHER 3 . 00 72 . 00 68 GLASS SOUP BOWL 0 .35 23 . 80 68 GLASS SALT SHAKER 0 .60 40 . 80 68 GLASS PEPPER SHAKER 0 . 60 40 . 80 680 WHITE RIM DINNER PLATE 0 . 50 340 . 00 680 WHITE RIM SALAD PLATE 0 .45 306.00 680 WHITE RIM COFFEE CUP 0.45 306. 00 680 WHITE RIM SAUCER 0 .45 306 . 00 1, 360 WHITE RIM B&B PLATE 0 , 45 612 . 00 680 WHITE RIM LUNCHEON PLATE 0 .45 306 . 00 680 HAMMERED DINNER FORK 0 . 30 204 . 00 LC LEASE READ SNORE farlaNNCL All merchandise,except inn,must be retuned clean and dry or there will he an additional charge for cleaning. Vbu will be rdterged for lost or damaged cartons Drekery/Pi0la,p Is tb the door at street level unless arranged and paid for in advance.The rental fee does NOT Include setup or take-down;either must be arranged for In advance of delivery and a charge will be made.ANY cogra labor for ANY reason(delays,delivery to other than hart door,setup,takedown.etc.)will result in a minimum charge of$25 per man how. Additional service charge will be made If no one is imitate,to accept delivery or pick-up. Lcng terms rake apply ONLY if paid for in advance and we shown on contract PROVISIONS ON THE BACK OF THIS LEASE ARE PART OF THIS CONTRACT CUSTOM R IS RESPONSIBLE FOR THEFT OF RENTAL EQUIPMENT WHILE IN HIS CUSTODY. t' X YOUR PROMPT RETURN WILL SAVE YOU MONEY tNIR „USTOMER IS RESPCJNNSIBLL FO:7 ::L L. DAMAGES Sent By: Party Time Rental; 303 9358731 ; Jul-24-00 8:08AM; Page 14/14 761rfrgal" PACE -02- NAME: CATTLE BARONS BALL-TODDYS ORDR 4 : 050021NTAL, Inc. I PARTY DATE: DELIVER TO: POUDRE RIVER RANCH MAP ATTACHED `"' „2 2075 S.Platte River Dr. 09/16/00 GREELEY CO 80631 r ' Denver,CO 80223 , :vs, (303)935-asn5 PARTY DATE: 09/16/00 * f FAX(303)936-6731 TIME: STAFF: NEXT DAY INSTArTOLLFREE(800)513-4545 DEL: 09/15/00 09:00 AM - 09 : 00 AM feeSgOmnuttWJ$f(n'rJ n,rSpec(auEvrnt" P/U: 09/17/00 08 :00 AM - 12 : 00 PM DATE+SS,WRIT'IrEN: 11 11/99 BY: JG CONTACT: NANCY CLARK PH1/2 : / ORDERED BY: SCOTT 970-356-2468 PH1/2 :356-9727 (970) /FAX(970) 356.9238 QUANTITY QUANTITY UNIT TOTAL ORDERED RETURNED I EQUIPMENT CRATES PRICE I PRICE 1, 360 HAMMERED SALAD FORK 0. 30 408 . 0C 680 HAMMERED DINNER KNIFE 0 . 30 204 . 00: 680 HAMMERED TEASPOON 0.30 204 . 00 680 10 . 5 OZ WATER GOBLET 0 .30 204 , 00 750 6 . 5 OZ WINE 0 . 30 225 . 00 330 10 OZ OLD FASHIONED 0 .30 99. 00 8 QT DELUX SS CHAFER 19 8 QT DELUXE SS BASE 16.00 304 . 00 19 8 QT DELUXE SS LID 0 .00 0 . 00 19 8 QT DELUXE SS WATER PA 3 .00 57 .00 19 FULL FOOD PAN 2" 3 . 00 57 . 00 3 6 ' PROPANE GRILL W/TANK 90. 00 270 . 00 ***PARTS CHECK LIST: ALL DRIP PANS GRATES *** _PROPANE REGULATOR NIPPLE TANK HOOK UP = mm==mm 4 ALTO SHAAM OVEN 110 . 00 440 .00 ***PARTS LIST: 2 SIDE RACKS, 1 DRIP PAN ***EXT.CORDS NEEDS TO BE SAME SIZE AS APPLIANCE 6 DUAL SWING ARM HEAT LAMP 35 . 00 210 . 00 *w***************************************"***'******w******'k**********'k********** PLEASE BE AWARE THAT YOU ARE RESPONSIBLE FOR ANY DAMAGE OR LOSS OF EQUIPMENT. BURNED, CUT, STAINED LINENS; BROKEN OR LOST DISHES AND FLATWARE; AND STOLEN ITEMS ARE VERY COMMON, ESPECIALLY AT LARGER FUNCTIONS. PLEASE EXPECT A SECOND OR ADDITIONAL BILLING TO COVER ANY OF THESE POSSIBLE AND/OR INEVITABLE OCCUR- RENCES. THANK YOU FOR HELPING US KEEP TRACK AND TAKE CARE OF THIS EQUIPMENT. ******************************************************************************** RENTAL 5, 443 .40 RESALE 'LEASE READ BEFORE ssoNNeO: DELIVERY M4I�m� erthendite,except linens,must be returned clean and dry or there will be an additional charge for cleaning. MI SC -544 .34 `ix win be charged for lost or damaged cantons 98- TAX Delivery/Pickup is to the door a sheet level unless avenged and paid far in advance-The reMrd fee does NOT include DEPOSIT getup or takedown,either must be arranged for in advance of delivery end a charge will oe made.ANY extra labor for EST LABOR ANY reason(delays,delivery to other than front door,setup,takedown,eta.)will result In a ntlnimum anarge of$25 Per TOTAL 4, 8 9 9• 0 6 man hour. Additlonal service charge will be made If no one is avaaeble to accept delivery or pick-up- PAYMENT 0 . 00 Long tamer rates apply ONLY R paid for In advance and a e shown on conb.ct. BALANCE 4, 8 9 9. 0 6 PROVISIONS ON THE SACK OF THIS LEASE ARE PART Of This CONTRACT: CUSTOMER IS RESPONSIBLE FOR THEFT OF RENTAL EQUIPMENT 1MH0.t IN HIS CUSTODY. Ct. X YOUR f ROMPT RENRN WILL SAVE YOU MONEY IC4F CUSTOMER IS RESPONSi6LE FOR ALL DAMAGES Sent By: Party Time Rental; 303 9358731 ; Jul-24-00 7:58AM; °age 3 //7'7 0/te 11111' RENTALh1C• PAGE -01- NAME: CATTLEBARONS #: 050019 !,,,2075 S.Platte RPvec Dr. DELIVER TO: POUDRE RIVER RANCH . yf, Denver,CO 80223 I PARTY DATE: MAP ATTACHED •4 (303)935-4545 09/16/00 GREELEY CO 80631 a FAX(303)935-6731 FLOORS: INSTATE TOLL FREE(800)513-4545 DEL BIN# "•Mbtare v aLcfixyeurS7wo�imJEtng" P/U BIN# BILL TO: AMERICAN CANCER SOCIETY yr 1020 9TH AVENUE TIME: DONE BY: 9/16/00 DEL: 09/11/00 09 : 00 AM - 09 : 00 AM GREELEY CO 80631••014 F'/U: 09/17/00 08: 00 AM - 10 :00 AM ATTN: NANCY CLARK DATE WRITTEN: 11/11/99 BY: JG .- - - DATE LAST CHG: 07/07/00 BY: JG DL# PO# REFERRED BY: B4 CONFIRMED 2ND ID: CONTACT: NANCY CLARK PH1/2 : 970-356-9727 / ORDERED BY: NANCY CLARK PH1/2 : 356 -9727 (970) /FAX(970) 356 -9238 DELIVERY INSTRUCTIONS: TENTS ON GRASS EASY ACCESS DLVRY RUN WHITE EXTENSION CORDS DOWN CENTER POLES FOR LIGHTING. RUN 2 PARTY BOXES DOWN EACH SIDE OF THE TENT OFF OF ONE GENERATOR. *GREELEY EXIT EAST PO COUNTY ROAD 17 SOUTH, FOLLOW 5 .8 MILES CO LEFT* BRING LOTS OF WATER TO DRINKIIIIII1111 ! ! QUANTITY QUANTITY I UNIT I TOTAL ORDERED RETURNED EQUIPMENT CRATES PRICE PRICE ****MAIN TENT 1 100 'X300 ' WHT CENTURY TENT*SETUP/TKDN* 21,000 . 00 21, 000. 00 14 8 'X20 'FRENCH SIDE-4 WINDOW*SETUP/TKDN* 40 . 00 560 . 00 20 8 ' X 20 ' WHITE SIDEWALL *SETUP/TKDN* 20 .00 400 . 00 1 LIGHTING PACKAGE *SETUP/TKDN* 1, 100 .00 1, 103 .00 8 300 WATT QUARTZ FLOOD 10 500 WATT QUARTZ FLOOD 4 1500 WATT LIGHT *****BARONS TENT & ENTRY 1 40X60 WHITE FRAME TENT *A**SETUP/TKUN* 1, 320 .00 1, 320 .00 3 8 'X20 'FRENCH SIDE-4 WINDOW*SETUP/TKDN* 40 .00 120 . 00 6 8 ' X 20 ' WHITE SIDEWALL *SETUP/TKDN* 20 . 00 120 .00 LIGHTING PACKAGE 6 3 BULB TRACK LIGHT *SETUP/TKDN* 35 . 00 210 .00 2 1000 WATT DIMMER-6 OUTL*SETUP/TKDN* 15 . 00 30 . 0 ***BARONS PASSING TENT*** 1 15 'X25 ' WHITE FRAME TENT *SETUP/TKDN* 300. 00 300 . 00 LC 'LEAS t RIAD INFORW MOWN& . All merchandise.except anent must be returned clean and dry or them will be an additional charge for cleaning. You will be charged for lost cc damaged cartons. Delivery/Picaup is to the door at Street level unless arranged and paid for in advance.The ran W fee dose NOT Include setup or tom-down:sided must be ranged for In advance of delivery and a charge will be made.ANY extra labor for ANY reason(delays,delivery to other then front door,setup.takedown,etc.)will result In a minimum charge of$25 per men hour. • Additional service chugs we las made if no one Is available to accept delivery or pick-up. • Long teems rites apply ONLY if paid for in advance and are Drawn on contract. • PROVISIONS ON 111E RACK OF THIS LEAS ARE PART OF THIS CONTRACT. • CUSTOMER IS RESPONSIBLE FOR THEFT OF RENTAL EQUIPMENT WHILE IN HIS CUSTODY. EAYOUR PROMPT RETURN VALL SAYE YOU MONEY OtiElCiiSI OMi P .5 RESPCiNhIFFt F FOP ALL DAMAGES Sent By: Party Time Rental; 303 9358731 ; Jul-24.00 7:58MA; Page 4 / �,/rte ' kir ir'- PAGE -02- NAME: CATTLEBARONS #: 05001 ) RENTALInC. DELIVER TO: POUDRE RIVER RANCH PARTY DATE: I MAP ATTACHED 'e..* 4,12075 S.Pafte River Dr. 09/16/00 GREELEY 4 ,. ,. Den CO 60637. Denver,CO 80223 - - - - ( ''A 4 (303)93.5-4545 PARTY DATE: 09/16/00 I< � / FAX(303)935-6731 TIME: STAFF: 9/16/00 TOLL fREE(803)513-4545 DEL: 09/11/00 09 : 00 AM - 09:00 AM "Elam! ratalsjur yew Special Event" P/U: 09/17/00 08 :00 AM - 10 :00 AM DATE%WRITTEN: 11/11/99 BY: JG CONTACT: NANCY CLARK PH1/2 :970-356-9727 / ORDERED BY: NANCY CLARK PH1/2 :356-9727 (970) /FAX(970) 356-9238 QUANTITY QUANTITY I UNIT TOTAL - ORDERED RETURNED EQUIPMENT CRATES PRICE PRICE 2 8' X 20 ' WHITE SIDEWALL *SETUP/TKDN* 20 . 00 40 . 0c 1 8 'X10 'FRENCH SIDE-2 WINDOW*SETUP/TKDN* 20 . 00 20 . 0( LIGHTING PACKAGE 2 3 BULB TRACK LIGHT *SETUP/TKDN* 35 . 00 70 .0( 2 1000 WATT DIMMER-6 OUTL*SETUP/TKDN* 15 .00 30 .01 ***WRANGLER ENTRY TENT*** 1 15')(25 ' WHITE FRAME TENT *SETUP/TKDN* 300 . 00 300 . 0(; 1 8 'X20 'FRENCH SIDE-4 WINDOW*SETUP/TKDN* 40 . 00 40 .00 4 8 ' X 10 ' WHITE SIDEWALL *SETUP/TKDN* 10 . 00 40 . 00 1 LIGHTING PACKAGE 140 . 00 140. 0( 4 3 BULB TRACK LIGHT 2 2400 WATT DIMMER ********COOK TENT********* 1 30 'X40 ' WHITE FRAME TENT *SETUP/TKDN* 660 .00 660. 00 7 8 ' X 20 ' WHITE SIDEWALL *SETUP/TKDN* 20 .00 140. 00 1 LIGHTING PACKAGE *SETUP/TKDN* 140 .00 140 . 00 4 3 BULB TRACK LIGHT 1 2000 WATT DIMMER-4 OUTL ******VOLUNTEER TENT****** 1 20 'X30 ' WHITE FRAME TENT *SETUP/TKDN* 360. 00 360 . 00 5 8 ' X 20 ' WHITE SIDEWALL *SETUP/TKDN* 20 . 00 100 .00 1 LIGHTING PACKAGE *SETUP/TKDN* 70 . 00 70 . 00 2 3 BULB TRACK LIGHT 1 1000 WATT DIMMER-2 OUTL ****WRANGLER ENTRY TENT*** 1 15 'X25 ' WHITE FRAME TENT *SETUP/TKDN* 300 . 00 300 . 00 1 8 ' X 20 ' WHITE SIDEWALL *SETUP/TKDN* 20 .00 20 . 00 2 8 ' X 10 ' WHITE SIDEWALL *SETUP/TKDN* 10 . 00 20 . 00 'LEASE READ BEFORE IYONINGc • Alf merchandise.except SWne,must be returned clean and*y cr there will be en additional charge for cleaning. You will be chayed for lost or dameged cartons. Delvsryffrickup is to the door E street level unless arranged and paid for In advance.The rental tee does NOT Include setup or takedown;Other must be avenged tot In advance of delivery and a eJwgs wit be made.ANY extra labor for ANY reason(datays,delivery to other than front door,setup.takedown,etc.)will result In a minimum charge of S25 per men hour. additional service charge wig be made if no one is available to accept delivery or pick-up. Lag terra ran apply ONLY If paid for in advance and are shown on contract. PROVISIONS ON THE BACK OF THIS LEASE ARE PART OF THIS CONTRACT. CUSTOMER IS RESPONSIBLE FOR THEFT OF RENTAL I OUIPMINT WHILE IN His CUSTODY. X—� YOUR PROMPT RETURN*ILL SAYE YOU MONEY EME I;STUME:H IS IFSPO1JSIUt.I- -OR ALL an MAGUS Sent By: Party Time Rental; 303 9358731 ; Jul-2400 7:59AM; Page 5;14 ;r rats PAGE -03- NAME: CATTLEBARONS #: 050015 l RENTAL, Inc. DELIVER TO: POUDRE RIVER RANCH PARTY DATE; I MAP ATTACHED + yc , ,2075S.WitteRiverDr. 09/16/00 GREELEY CO 80631 , Denver,CO 80223 1_ (303)93541545 PARTY DATE: 09/16/00 FAX(303)9356731 TIME: STAFF: 9/16/00 INS TOu.mEE(80M513.4545 DEL: 09/11/00 09:00 AM - 09 : 00 AM 8' ,�a� ntalsffo� ow Special . nt" P/U: 09/17/00 08 :00 AM - 10 : 00 AM DATE JRI#14;; 111/99 BY: JG CONTACT: NANCY CLARK PH1/2 : 970-356-9727 / ORDERED BY: NANCY CLARK PH1/2 :356-9727 (970) /FAX(970) 356-9238 QUANTITY QUANTITY UNIT TOTAL ORDERED RETURNED EQUIPMENT CRATES PRICE I PRICE 1 LIGHTING PACKAGE 70. 00 70 . 0L 2 3 BULB TRACK LIGHT 1 1000 WATT DIMMER-2 OUTL *****************w******** MISCELLANEOUS POWER DIST. 1 60KW GENERATOR W/GRND R 435 .00 435 .00 ***HIGH THEFT ITEMS, TAKE PROPER PRECAUTIONS. ******DON'T FORGET TONGUE LOCK KEY*** 1 60 ' QUAD BOX STRINGER 165. 00 165 . 00 4 50 AMP POWER BOX W/GFI 70 .00 280 . 00 4 50 AMP 100 'EXTENSION CA 20 .00 80 . 00 18 100 ' WHITE EXTENSION CO 10 . 00 180 .00 5 POWER STRIP 2 . 00 10 .00 4 16 ' RAIN GUTTER *SETUP/TKDN* 16.00 64 . 00 1 SAFETY/FIRE PACKAGE 350 .00 350 . 00 25 FIRE EXTINGUISHER 6 EXIT SIGN (NOT LIGHTED) 6 LIGHTED EXIT SIGN W/BAT 10 NO SMOKING SIGN **********************************************************w w**w***************** PLEASE NOTE THAT THE CLItNT IS RESPONSIBLE FOR ALL PERMITS AND LICENSES; FOR PROPERTY AND PEOPLE IN AND AROUND TENTS AS TENTS ARE NOT WEATHERPROOF (WIND, SNOW, HAIL, LIGHTNING, ETC) OR WATER TIGHT; FOR CLEARLY MARKING UNDERGROUND UTILITIES AND/OR SPRINKLERS AND/OR ETC; FOR TENT (OTHER EQUIPMENT) SECURITY; AND FOR ALL SITE PREPARATION. THANK YOU FOR YOUR ATTENTION TO THESE MATTERS. ******************************************************************************** 'LEASE READ BEFORE$IGNINCk All merchandise,except One*,must be returned dean and dry or there will be an additional charge for cleaning. You will be merged tot lost or damaged cartons. Daiivelyt?1okup B to the door at west level unless arranged and paid for in advance.The rental fee does NOT Include setup or takedown;carer must be ranged for in advance of delivery and a charge wR be made.ANY sera labor for ANY reson(ddeys.delivery to other than front door,setup,takedown,etc.)will result In a miren m charge of$25 per man horr. Add@lonal striae chsgo rrel be made It no one is available t0 accept delivery or pick-up. Long tern*rain apply ONLY i paid for in advance and are shown on contract. PROVISIONS ON THE BACK OF TIRE LEASE ARE PANT OF THIS CONTRACT. CUSTOMER IS RESPONSIBLE FOR THEFT OF RENTAL EQUIPMENT MKS IN HIS CUSTODY. ea A YOUR PROMPT RETURN WILL SAVE YOU MONEY r1u TOMER IS ail ,PONStHLE f-OR Al I UAMAGLS 08/16/2000 16:14 970-686-9523 WINDSOR/SEV. F.P.D. PAGE 02 514 Windsor-Severance ' Fire Protection District August 18, 2000 Ms. Nancy Clark American Cancer Society • 1020 9th Avenue Greeley, Colorado 80631 Dear Nancy: The Windsor-Severance Fire Protection District is pleased for the opportunity to assist your organization with such a worthwhile cause as the annual Cattle Barons' fundraiser. We are pleased you have chosen the Windsor area to host this event and look forward to assisting you. We will be providing your event two emergency units on September 16, 2000. One rescue unit with two firefighter/Emergency Medical Technicians, and a mini- pumper unit with two firefighters will be on-scene beginning at 4:00 pm and remaining until the conclusion of the event. Additionally, district representatives will visit the site prior to the event to complete a fire safety inspection. I will contact you within the next few days with further details of our involvement, it is my hope that this letter meets your present needs. Respectfully, 4 erry Ward Fire Chief ph 970.686.9596 SAS &970.686,9623 728 Min Strcct :,L•95 Windsor,Colorado 80550 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE "YY; 9-15 -00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF IINFORMJTION Sefi W1Ck of Georgia , Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIF;CATE g g HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEN-) OR Suite 500 , South Tower ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3333 Peachtree Rd. NE INSURERS AFFORDING COVERAGE Atlanta , Georgia 30326-1043 INSURED INSHTEPA Royal Indemnity Company American Cancer Society 'WSJ FEIAB Federal Insurance Company Rocky Mountain Division , Inc - INSURERG 2255 South Oneida INSURER0 INSURED INCLUDES ALL OF THE INSURER FOL COVERAGES ___ Denver CO 80224 FOLLOWING STATES : CO, ID, ND, _UT� THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC,'-TI C'. NC 1'JI THSI .'7i 13 ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTEI' All' !MAY' '3E IS, DFI MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANL': ONE l IONS ,I :r- POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS NSA TYPE OF INSURACCE POLICY NUMBER POLICY EFFECTIVE POLICY EKPIRATION AEI LTR DATE(MM/DO/VY) DATE(MM/OD/VY) _... A GENERAL LIABILITY PTV4.56046 9/01/99 9/01/00 E AC.HOLCHRREnE , 1000( 00 X C.OMMERCIP, GENERAL LIABILR Y FIRE DAMAGE iAr A 100( 00 CLAIMS MADI X OCCUR NELC I XP Ans nn! p ' n 5(100 PI.HSONAL A AOLIN., F . 1000( 00 GEOFFAlACGRE"; 2000( 00 GEN'L AOGREGA FE LINER APPLIES PER PRODUCTS-COMP 1000( 00 PRC F'OI.ICY JECT LOU A AUTOMOBILE LIABILITY PTT456047 9/01/99 9/01/00Ci MAGEDONLY X ANVADT/, IFI.II-laan'I 1000: 00 ALI. OWNED IwTOS BI IDII Y INJU F.CHEOULEI AUTOS 10p mml X FIIRLD A.0 IIS OFFER Y INJURE X N,ON,-OWNLI AUTOS IFw awitlenp PI PAPER (DAMAGL II=er a;HAIR GARAGE LIABILITY A,ITO ONLY F 4rr . II` ANY AU ICI TOP THAN A, ITO OM V. EXCESS LIABILITY L UCLURHLN I OCCUR CI AIMS MADE N.Y,P EGA TL L₹UUCT IBLI PE I LOT ION $ A WORMERS COMPENSATION AND RTO456044 9/1/99 9/01/00 ORY IILMITS )I I EMPLOYERS LIABILITY F I..EACH ACCIDI N' 50 0(. 00 EI DISEASE EA El' Y. - 500( 00 E L.DISEASL-PC_I :II' I 500( 00 00 OTHER B PROPERTY SPECIAL 54811 9/01/99 9/01/00 BLANKET LIMIT FORM. INCL THEFT BLDG/CONTENTS DESCRIPTION OF OPERATIONS' Q YXI ]a1JG Q¢5}t J(»JEX(frX�[JWner�sI�KI]1L 1}��IISCr2O 0 O a t the Big Cattle Barons a j. O be [ie jSn eptem_[je ]._(S _ g Cat Turf }! .irID in Windsor , Colorado . Also a Gala will be held Saturday evening 9/ 16 /00 . Certificate holder is additional insured for general liability with re,specI to liability arising from negligence of the American Cancer Society . SEDGWICK IS NOT LISTING EXCLUSIONS OR SPECIAL PROVISIONS . CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHCULD ANY OF THE ABO'/E DESCRIBED POLICIES BE CAN,. Li'1 I) BEFORE THE I RP;Ion Weld County Government DATE THEREOF.THE ISSLING INSURER WILL ENDEAVOR r I 6' I, 3 0 DAR' INII IEN 915 10th Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT MI' FAIL FA TO DC IS' Y . O . Box /158 IMPOSE NO OBLIGAT R LIABILITY OF ANY KIND U'OV TH INSU I_II, ITS , IT" OI Greeley, CO 80632 REPRESENTATIVE AIITF OHfZED RE NTA FIVE A / : ACORD 25-S(7/97) 33- 54 a ACO OPPORATi E N 1988 it BOARD OF COUNTY COMMISSIONEF.S PHONE (970) 356-4000, Ext. 4230 FAX: (970) 352-0242 'D. C). BOX 758 C. GREELEY, COLORADO 80632 COLORADO September 28 Nancy Clark 1020 9' Avenue Greeley, Co 80631 RE Colorado Department of Revenue check Dear Nancy: We received a check from you for $25.00 made out to the Colorado Department of Revenue for the special events permit you applied for. We found the check in our safe yesterday, so I called the Colorado Department of Revenue to see if we had forgotten to send the check in when we sent in the rest of the paperwork. She couldn't find anything on it and said they would have called us if they hadn't gotten the money when they processed the application. Therefore, I am returning this check to you at this time. If you have questions or need additional information, please do not hesitate to contact me at (970) 356-4000, Extension 4225 Very truly yours, • Donna J. Bechler Deputy Clerk to the Board 76 BERNARD A.CLARK 02-81 12031 NANCY G.CLARK 1936 27TH AVE (970)352-4473 )c ) r) j t, 23-7/1020 GREELEY,CO 80631 a c1 // d / CR, Pay rderof the ( /1�.t`'La G y 7�!C- ,fi $ .,/ W Order of �'(T""" �_— ci' "Y d /LCA1/ L'L-7 ,.,�ttce / pr.) (_) Gofers 6) ay-at" WELLS FAK6O BANK WEST,NA. PMA \\P \ GREELEY 1025 NMTH AVENUE i. I-1Id1,11 GREELEY,CO 80631 I / www.weMlargo.com ns & e-4 Memo �: Hello