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0006.19
AFFIDA VIT
RECEIVED 11/8/2006 at 1:44 PM
RECEIVING # 924193
BOOK: 639 PAGE: 619 I
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COMES NOW, Thomas S. Rooks and Kathleen L. Rooks, whose address is 92 Bethesda Church
Road, Carrollton, Georgia 30117, being duly sworn on oath according to law, do hereby make
the following statements of facts and affirms:
STATE OF GEORGIA
)
) SS.
)
COUNTY OF CARROLL
1. That they are the owners of the land described under the Certificate of Surveyor on the plat
titled, "BEAR CREEK ESTATES SUBDIVISION FOURTH FILING IDENTICAL WITH
LOT 5 OF BEAR CREEK ESTATES A SUBDIVISION WITHIN THE SEY4NEY4
SECTION 18 T34N Rl18W LINCOLN COUNTY, WYOMING", dated 6 September 2006,
as amended.
2. That they have reviewed said plat.
3. That they have read and understand 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.
1Îrz¡ 2006.
~~'ß'~' L~
een L. Rooks
The foregoing instrument was acknowledged before me by Thomas S. Rooks and Kathleen L.
Rooks this J ~ day of f\~' - ~ , 2006.
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