HomeMy WebLinkAbout911631' --'00862
AFFIDAVIT
STATE OF WYOMING
COUNTY OF LINCOLN
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) ss.
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COMES NOW, Jerry Ray Humpherys and Deanne Humpherys, whose address is P.O. Box 280,
Thayne, Wyoming 83127, being duly sworn on oath according to law, do hereby make the
following statements of facts and affirms:
That they are the owners of the land described Under the Certificate of Surveyor on the plat
titled, "LITTLE PINE sUBDIVISION WITHIN THE S½SW¼ SECTION 1 T34N R119W
LINCOLN COUNTY, WYOMING", dated 4 August 2005, as revised.
2. That they have reviewed said plat.
3. That they have read and understands the provisions of the Certificate of Owner thereon and
the implications thereof.
4. That this affidavit is signed in the stead of and has the same effect as if the original mylar of
said plat had been signed.
DATED this ?FBX-day o~. 2005.
ferry'R)}~ Humphe~s
Deanne Humpherys
The foregoing instrument was ackn~owledged before me by Jerry Ray Humpherys and Deanne
Humpherys this 'r~ day of ~,-1r . ,2005..
Notary Public
Commission Expires:
"' Corn - NOTARY PUBLIC
RECEIVED 9/7/2005 at 4:41 PM
RECEIVING # 911631
BOOK: 596 PAGE: 862
JEANNE WAGNER
LINCOLN COUNTY CLERK KEMMERER WY