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913785
, ;'1 (~ '} i? r~ '.. '.! _!.~ :t J \VYOMING LIEN STATEMENT THE UNDERSIGNED LIEN CLAIMANT, pursuant to Title 29, chapters 1 and 2 of the Wyoming Statutes, is filing this Lien Statement at the Office of the County Clerk for the County of Lincoln, State of Wyoming, as a claim and lien on property and for matters described and referred to herein as follows: ( (1) The Undersigned, Legacy Homes, whose address is 2391 Muddy String Road, Thayne, Wyoming, 83127 is the Lien Claimant and person/business seeking to enforce this Lien. (2) The amount of the claim for this lien is that is due and owning to the Lien Claimants is forty one thousand seven hundred fifteen dollars ($41,715.00) plus any accrued interest. (3) The names and address of the persons against whose property this lien is filed is Don Burmingham, et a!. as owner(s) of the property located at 115 Alpine Village ~ad, Alpine, Lincoln County, Wyoming. (4) The itemized list of materials and work performed is attached as Attachment A. (5) The name of the persons against whom the lien claim is made is Don Bunningham, et a!. as owner(s)s of the property located at 115 Alpine Village Road, Alpine, Lincoln County, Wyoming. b 7 (<{ [&{ (6) The last date on when the materials were delivered and the project substantially completed was on or about July 29, 2005. (7) The legal description of the premises where the materials \vere furnished and work performed is NEl/4NW1/4 of Section 19, Township 37 North, Range 118 West (Lot 40, Block 1 of the Alpine Village Subdivision) located in Lincoln County, in the records of the County Clerk, Lincoln COLlnty, WY. DATED this I g 10 day of October, 2004. RECEIVED 11/i7/2005 at 12:27 PM RECEIVING # 913785 BOOK' 605 PAGE: 145 . JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY "¢ ^ ;; --......... ,/ / ')ß ->';<- tdÆ# )~// e/;z:5; ÁLAN MERRITT LEGACY HOMES Legaq' llol11es Lien Statement Page] of 2 .' ," ~ .~} '~J c:· ~~ ,_JH....Þ r· I~, I.... ..! ,,(' \.' :. " ~ . ~_._ t:! 0 TI-IE STATE OF WYOMING ) )SS. COUNTY OF LINCOLN ) I, Alan Merritt, acting for and behalf of Legacy Homes, LLC, being first cluly sworn according to law, deposes and states: That he is the affiant Ü1 the above entitled action; that he has read the above Wyoming Lien Statement by him subscribed; that he knO\vs the contents thereof and verily believes the statements therein contained are true. Sft' :12 /- . Þ 'b. . 'ß'------- //~#/ ' ~-P:;c~_p ALAN MERRITT LEGACY HOMES .Jf.t..-- /7- 7J SUBSCRIBED AND SWORN to before me this ~~ day of October, 2005. ~~"'-"~'->~ CHRISTINA K. AUHED· NOTARY PUBLIC County of -æ~fff1' State .of Lincoln \tðJ \¿Vyorr1lng My Cornrníssion ¡;:~:pires 4/3Q/20?5 _ /\1, " +.. f I l7(ð II! ' ! LA~tt~~~~lLtd¿ó NOTARY PUBLIC My Commission Expires: Lt- ::SÖ-CA- Legacy Homes Lien Statement Page 2 of 2 G tJfl f3 rrll INVOICE #?()O() Legacy Homes 2391 Muddy String Road Thayne, \I/Y 83127 (307) 883-3800 .! . 1-·, ,.~, "~ /ì ~} t., '" .I r~.,r .L_ ~ ~ 5th billing for Don Burmingham Alpine, Wyoming: July 27th} 2005 2nd Statement Payments: Thank you ............................... . . . . . . . . . . . . . . , . . . . . óO,OOO.OO Credits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10205.43 *Hamilton's Carpet Plus $4817.99 * Just Stone (included in Komerstone Masonry bill) $512.2ó * Alpine Meta/Works $1219.90 * Komerstone Masonry $3ó55.28 Balance. . , . . . . , .. .. . .. . ... . . . . " . . , . .. . . . . . . . . , . . . . . . . . . .. . ,. ....... . .21,247.ó2 Brandon Bumham (added cabinet above sink). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1020.00 Diamond V Heating. . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2277.24 Skinner N Service (hook up tv) ..............,.....,...... ................. .217.77 Kevan Larsen Inc (align dish & activate) " ....................... . . . . . . . . . . , . 88.00 Standard Plumbing (boiler exhaust & plumbing parts) . . . . . . . . . , . . . . . . .ó7939 Jenkins Lumber (paintl brushesl etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . · . .340.82 Call Ready Mix (trim packagel mirrored sliding doors) . . . . . . . . . . . . . . . . . . . . . . . . . . . .ó838.33 Thayne True Value. . , . . , . . . . , . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10ó.58 Blackette Construction (concrete steps in hanger). . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.50 Labor up to 03-21-05 (see labor notes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . · ó324.50 Interest 10% APR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1998.18 Total. . , . . . , . . . . . . . . , . . . , . . . . . . . . $41715.93 · ';':; ~.;? i~3 ,!~:~ Labor ~Jotes (hours up to 03-21-05) Joel Merritt 5 @ 21.00 Dan Tyler 30 @ 30.00 Alan Merritt 143 @ 30.00 Jeff Pearson 4 @ 21.00 Randall Merritt 4.50 @ 15.00 Dustin Merritt 14 @17.00 Donny Tyler 6 @ 20.00 Tyson Merritt 26 @ 20.00 Total 105.00 900.00 4290.00 84.00 67.50 238.00 120.00 520.00 $ 6324.50 (" (i C; J~ t~ 8 . .