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One Dollar filing f ee must accompany affidavit OFFICE OF S T A T E ENGINEER AFFIDAVIT OF COMPLETION OF WORK Permit No. 10450 STATE OF NEVADA, ss. County of OLAISC BEFORE ME, Personally appeared. the subscribed, who being duly swnrn saith that at ieast%&jUsft<Httl ThORSORlI and 98/100 ?art7»ttvo/ dollars has been expended in work or improvements performed or made under the conditions provided in Permit No. 10458 , in the completion of said works, and at the expense of the applicant. Said improvements consisted of w ell at polst of &1VOgalon to a off 800 fo o t qn& casing; lnoldft sAtb 08 fo o t o f 16**, 585 ___ fo o t o f 10 5/Ln (Mid ill fo o t o f £ G/Sw oooiafis ala® fo ot________ o f IE* f wunalto m a t lawn a lm eomwettois %m a f m i l urttfe t a t t lin g basin: a im m m m M xj&tr been a im aant3*ol m ltoe on oaulnff__________ and we re made at. . INlltlb dtVaSf&laiS being work essential to the actual diversion of the water applied for and in the completion of the work required under said permit. , €|j| ?&% Said improvements were begun prior to _______ , 19___y, and were completed prior to _______ , 19_^_. las rm m u rn aid- ®mmmt m t WALTER R. BRACKEN It s fia o iTOsi&ont* Applicant Subscribed and sworn to before me (SEAL) this 6th day of ? 19_M A. M. FOLGER Notary public in and for the County of________________,, SSttaattee of Nevada. My Commission e x p ir e s Sep 27 1941