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0005:12
AFFIDA VIT
STATE OF 'VYOMING
)
) SS.
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RECEIVED 9/12/2006 at 11 :26 AM
RECEIVING # 922379
BOOK: 633 PAGE: 512
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
COMES NOW, Paul C. Jenkins and Sheila Jenkins, whose address is 11 Ross Road, Thayne,
Wyoming 83127, being duly swom on oath according to law, do hereby make the following
statements of facts and affirms:
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1. ¡That they are the owners of the land described under the Certificate of Surveyor on the plat
:titIed, "STATELINE CONDOMINIUMS PHASE I BUILDINGS 300 AND 500
iIDENTICAL WITH LOT 3 AND LOT 5 OF STATELINE ESTATES WITHIN GLO LOT
11 !NWY.;NEY.; SECTION 33 T35N R119W LINCOLN COUNTY, WYOMING" dated )Dt 18
~¥ 2006, as revised.
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2. ¡That they have reviewed said plat.
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3. that they have read and understands the provisions of the Celiificate 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.
TED this 11 th day of September 2006.
~J~
Sheila Jenkins
The foregoing instrument was acknowledged before me by Paul C. Jenkins and Sheila Jenkins
this 11 th day of September, 2006.
JrN.& ~.C()lc0
otary Public
Jamie OeCora - NOTARY PUBUC
.County of SlaW of
UnooIt\ Wyomfna
My ~on Exp!tQ8úÙljzD J 0
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Conimission Expires:
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