This government document is issued by Saguache County for use in Colorado
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https://www.google.com/url?client=internal-element-cse&cx=477d23579a4094393&q=https://saguachecounty.colorado.gov/sites/saguachecounty/files/documents/Application%2520for%2520Employment.pdf&sa=U&ved=2ahUKEwjIo_q5456HAxUJ2wIHHbV3C3g4MhAWegQIBhAB&usg=AOvVaw1yO8C5kBGXiaTBzl0Hv_q1&fexp=72519171,72519168