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000880
AFFIDA VIT
STATE OF W
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RECEIVED 9/26/2006 at 10:37 AM
RECEIVING # 922780
BOOK: 634 PAGE: 880
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER. WY
COMES NOW, Heritage Escrow, LLC, acting through its undersigned agent, whose address is
1040 N. 6th Street, Greybull, Wyoming, 82426, being duly sworn on oath according to law, does
hereby make the following statements of facts and affirms:
COUNTY OF
1. That Heritage Escrow, LLC is the owner of the land described under the Certificate of
Surveyor on the plat titled, "GREYS RIVER VILLAGE FOURTH ADDITION TO THE
TOWN OF ALPINE IDENTICAL WITH LOTS 32 AND 33 OF GREYS RIVER
VILLAGE SECOND ADDmON TO THE TOWN OF ALPINE WTI1ßN NW~SW~
SECTION 28 NE~SE~ SECTION 29 TI7N R118W LINCOLN COUNTY, WYOMING",
dated 14 July 2006, as revised.
2. That the undersigned has reviewed said plat.
. .
3. That the undersigned has 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 ..1t/!'dayof O~.1MJf 2006.
Heritage Escrow, LLC
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MaggietUFollette, OwnerlManager
On tmsd!.!! dare of August 2006 before me personally appeared Maggie LaFollette, who did
say that she is the OwnerlManager of Heritage Escrow, LLC, and that this instrument was signed
and sealed on behalf of said company by authority of its member and acknowledged said
instrument to be the free act and deed of said company.
Witness my hand and official seal.
!J¡I)JWJ Van Mdflu
~tary Public
Commission Expires: / tJ / Lf / f) g
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Jllnn, Vlna"a., NOT"..y ~U'L.IC
COUNTY OF .
BIG HORN STATIf OF
WYOMING
MY COMMISSION EXPIRES OCTOBER 4 2008
TIR 36-119-33/Bndley Milb