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AFFIDA VIT
STATE OF WYOMING
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RECEIVED 11/812006 at 1 :48 PM
RECEIVING # 924195
BOOK: 639 PAGE: 620
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
COMES NOW, Russell Motzkus and Michelle Motzkus, whose address is P.O. Box 4246
Bedford, Wyoming 83112, being duly sworn on oath according to law, do hereby make the
following statements of facts and affirms:
1. That they are the owners of the land described under the Certificate of Surveyor on the plat
titled, "CLEARVIEW VilLAGE PHASE I WITHIN THE NEY..SEY.. SECfION 10 T35N R1l9W
LINCOLN COUNTY, WYOMING", dated 18 November 2005, as revised.
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.
DATED this ~ day of ~ m~..U,:W06.
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Rosse otzkus
Michelle Motzkus .L)
4)/''-// row
79"ir Ot4A-;1f/Y.
The foregoing instrument was ~wledged before me by Russell Motzkus and Michelle
Motzkus this ~day of Mb J .A....... , 2006.
or
JAMIE DECORA . NOTARY PUBLIC
County of & State of
UncoIn _ Wyoming
My CommissIafl !:xpires June 27, 2010
Commission Expires:
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SID Clearview Village