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AFFIDA VIT
000B41
STATEOF~3
COUNTY OF La.rLlm\ e
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COMES NOW, James Rogers whose address is 8503 Clearview Circle Cheyenne,
Wyoming 82009 who, being duly sworn on oath according to law, does hereby make the
following statements of facts and affirm:
1. That he is an owner of part of the land included within that plat titled, "FINAL
PLAT GRAND LAKE ADDITION TO THE TOWN OF ALPINE BEING PART
OF LAKEVIEW ESTATES INCORPORATED TRACT (A) AND GRAND
VIEW ENTERPRISES INCORPORATED WITHIN THE S~SE~ SECTION 29
T37N R118W LINCOLN COUNTY, WYOMING", dated 21 March 2005, as
revised.
2. That he has reviewed said plat.
3. That he has 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 1.3 day of --.bl.ð ¡J
2006
RECEIVED 12/1/2006 at 2:25 PM
RECEIVING # 924961
BOOK: 641 PAGE: 841
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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'he foregoing instrument was acknowledged before me by James Rogers this ~ day
of _N.~\) 2006.
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