HomeMy WebLinkAbout919656
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.~. v"'· '-'\ 736 Sheridan Avenue
Cody, Wyoming 82414
[Ijß(f~
~filCAL SERVICES PROVIDER LIEN
COLLECTION PROFESSIONALS, lNC
Collection, Check & Receivable Solutions PO BOX 1340
CODY, WY 82414
307-587-4761
AmberD Bowman
.aka Amber D Barnard
June 20, 2006
phone 307.587.4761
toll-free 800.584.9153
fax 307.587.4981
www.cpicollects.com
Collection ProfessionaLs, Inc. .acting.as 1lgent for the following clients .including services rendered by
Bame clients:
Client £ct~
Civil Judgment CV-2003-0186
St. Johns Hospital 20142176
St. Johns Hospital 30004151
St. JolmsHospital 30006631
S1. ] ohns Hospital 30003991
St. Jolms Hospital 30002857
St. Jolms Hospital 30035324
St. Johns Hospital 30034905
.MRI of Jackson Hole 1654663
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Date
08-14-03
08-21-03
05-08-04
05-31-04
05-06-04
no date
01-26-05
01-19-05
05-17-05
TOTAL
Principal
2,037.68
453.60
171.86
35.00
108.27
214.92
11,855.65
106.00
1.,200.00
Int & Costs
654.42
154.20
43.68
8.63
27.59
42.82
1,987.85
18.01
83.24
16,182.98 3,020.24
Ba1an.ce
2,692.10
607.80
215.54
43.63
135.86
257.74
13,843.50
124.01
1.,283..24
19.,203.42
Therefore, Collection Professionals, Inc. .acting.as 1lgent for the abovementioned clients, is hereby
filing a lien 1lgaÏn.st MY real property owned by Amber D Bowman, alGI. Amber D Barnard
.including but not limited to property owned at 'Township 35, rMge 119, section 10, Southeast portion
of the Northeast comer. .44 .acres
J>roperty may not be Bold, íraded, deeded, willed or .in MY way change ownership without payment.in
full to be made directly 10 CPL up 10 amounts necessary to retire the above .indebtedness .in full.
Name: A ~.\ \-tV
Signature . ... \)fll h )
(.A.1Tilior.ûed CPI representative)
Date (j)- cl \ - C1 0
RECEIVED 6/26/2006.at 11:55 AM
RECEIVING # 919656
BOOK: 624 PAGE: 399
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
State of Wyoming )
)
County ofJ>æk )
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The foregoing instrument w.as .acknowledged before me by Q YY\.-~ Z ~
This ól. , day Ofqu.lLl ~ 2006.
NQ~c;b fQ.d:~
Seal & Expir.ation date
JANET D. FENTON.HCiARV PUBLI~
COUNTY OF . STATE OF
PARK WYOMING
MY COMMISSION EXPIRES 3~/S-Ð8
ridan Gillette Cody MONTANA Missoula Billings Great Falls
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