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AFFIDA VIT
STATE OF WYOMING
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COUNTY OF LINCOLN
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RECEIVED 1/12,/2007 at 11:30 AM
RECEIVING # 926058
I
BOOK: 646 ! PAGE: 226
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COMES NOW, Robert H. Beard and Florence Beard, whose address is P.O. Box 92, Daniel
Wyoming, 83115 being duly sworn on oath according to law, do hereby make the following
statements of facts and affinns:
1. That they are owners of a portion of land described under the Certificate of Surveyor on the
plat titled, "COUNTRY VISTA PHASE 2 SUBDIVISION SECOND FILING IDENTICAL
WITH LOTS 6, 8 AND 9 OF COUNTRY VISTA PHASE 2 SUBDIVISION WITHIN THE
WY2NW~ SECTION 1 T31N R1l9W LINCOLN COUNTY, WYOMING", dated 23
October 2006, as revised.
2. That they have reviewed said plat.
3. That they have read and understand the provisions of the Certificate of Owners 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 Æday of () 11-/1-/1
IM¡JjJ~
Robert H. Beard
2007.
J~.,A'-P
Florence Beard
~
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The foregoing instrument was acknowledged before me by Robert H. Beard and Florence Beard
this 5 day Of0f1J\IIII.J ,2007.
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RONALD C. M!':EI<S _ ÑòTÃPY~P~IIC~!~I~;:- ,;
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COUNTY OF STATE OF )~
LINCOLN WYOMING ì
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