HomeMy WebLinkAbout921104
· ....·.,·=r..,.,..'."""'......~,...-L...."'-u·.~·· ..,..c·... .,~·"~'''''N·'''"''·,_...·....,-. '''''''''.. "" ,.
.,."_.,."'-".,-...."..................,,
"."'. ·.¡,,·_-·'.:t--"'."N.'.'·,...;_...··.'_'·'·r;.'~..',.,,:,.~· ',., .-,,":, _ ~
J:' .::
000601.
STATE OF CALIFORNIA
)
) SS.
)
AFFIDA VIT
RECEIVED 8/9/2006 at 2:42 PM
RECEIVING # 921104
BOOK: 629 PAGE: 601, '
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF
COMES NOW, Salvatore A. Scaffide and Ramona A. Scaffide, whose address is 19010 Lynn
Lane, Y orba Linda, CA 92886 acting through its undersigned officer, being duly sworn on oath
according to law, do hereby make the following statements of facts and affinns:
1. That they are owners of the land described under the Certificate of Surveyor on the plat
titled, "PACKSADDLE SUBDIVISION 3RD FILING WITHIN THE NY:zNEY4 SECTION 9
T36N R119W LINCOLN COUNTY, WYOMING", dated 11 November 2005, as revised.
2. That they have reviewed said plat.
3. That they have read and understand the provisions of the Certificate of Owners 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.
2006.
(V¡1ið)t({ d;:
Ramona A. Scaffide
The foregoing instrument was acknowledged before me by Salvatore A. Scaffide and Ramona A.
Scaffide this day of ,2006.
SEe ATTACHED NOTARIAL CERTIFICATE
Notary Public
Commission Expires:
r: i¡;¡~ml¡~~¡~i¡~i~f
'}¡\;fm~1~¡?
092110J~
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 000602
t~'t~..ç::':--':':'''X~Cf..~Þ~''>f'~'~d::;;(.''~2:..'-''<Y·~~!~;{;~;()(~'Ç~~~'f~<~~~<:X;~i:'':.t:j(."l:::<'r;:';(~-C~...'"?(.;.t:,"",-~~<::i~.ç">..;,.-::,;c:;CX:rr..~.c-!"":~"'"_<,·...~(X1;~~~<:d~:.¡,."":<ri~:t::¢-4~~~~.(';.:¿>!
State of California
County of __Q!~gge
On :j,j" W ~L.
--"--4---;');t~-" r - --.. --.
personally appeared
~~A-
} 55.
before me, Eric D, Eshelman, Notary Public
5' . Nan", and TI!:~ 01 Olf¡¡:~ [99 ' -Jaoe [J.)9, N~la¡y Pub~c-)
/kLVA"ï?J,~ A S c..../~Ðð ¡~
N.>me($) 01 Sog1erlsl
/1 Sc:~ FJ¡,r-
:J personally known to me
~roved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) ~are subscribed
to the within instrument and acknowledged to me that
lÆë!st;felthey executed the same in ~bBf/their
authorized capacity(ies), and that by h~/their
signature(s) on the instrument the person(s). or the
entity upon behalf of which the person(s) acted.
executed the instrument.
PI~Ce Nota'y Seal Above
WIT~___
Sig<1a\u'e 01 Notal)' Publi<:
OPTIONAL
Though the infomJi~tion below is not required by taw. ìI may prove valuable to persons relying on the document
and could prevel1t fraudulent ren10va/ and realtachment of tll;S form to another document.
Description of Attached Document /Î /?/J,
Title or Type of Document: /-fY--ý"7z:wv" r
Document Date:
Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
CJ Individual
U Corporate Oflìcer - TiUe{s); _
i:} Partner - !~-j Limited LJ General
:~ Attomey in Fact
Lj Trustee
[] Guardian or Conservator
LJ Other:
Top 01 I.humh here
Signer's Name:
o Individual
o Corporate Officer - Title(s):
[] Partner -; limited [! General
[] Attomey in Fact
[] Trustee
[J Guardian or Conservator
[] Other:
Tep oll!;o, fnb h.1rc
Sigrîer Is Represenlìng;
Signer Is Representing:
~~<¢~Ñ-~~tç,(..'é.a;:9.I.."~e{;~~~"'>Q<,~~k.-g.(~¡¡¡t~<;:~~{~§:@.~;¡'§.<;;@,;~~<iQ~~'b~'W"~;~~;;Ç.<:,~,;;w",~~C",'9.;J{9.
o 2CC·\ National ~Iolary AS"'-,,<:",:ion . 9::150 De SùlO A·'9.. PO &x 2~02 ' Cl'alsw,"nh, CA 91313-2402 Ite", Nù 5907 noo'dor Call Tc1I·F,þ." 1·800-676·6627