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AFFIDA VIT
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RECEIVED 2/23/2007 at 12:09 PM
RECEIVING # 926993
BOOK: 649 PAGE: 519
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COMES NOW, Robert H. Moss, whose address is 1685 West 1400 North, Provo, Utah
84604 who, being duly sworn on oath according to law, does hereby make the following
statements of facts and affinn:
1. That he is the owner of Lot 259 of Lakeview Estates Incorporated Tract (A) a
subdivision of record in the office of the Clerk of Lincoln County, Wyoming as Plat
No. 157;
2. That he has reviewed the plat titled, "LAKEVIEW ESTATES TENTH ADDITION
BEING PART OF LAKEVIEW ESTATES INCORPORATED TRACT (A)
WITHIN THE INCORPORATED LIMITS OF THE TOWN OF ALPINE WITHIN
S~SEY4 SECTION 29 T37N R118W LINCOLN COUNTY, WYOMING", dated 7
October 2004, as revised, which includes the above described land;
3. That he has read the Certificate of Owner on said Tenth Addition plat and understand
the provisions 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 '^o
2006.
/
The foregoing instrument was acknowledged before me by Robert H. Moss this ~ day
of MO 2006.
......,;Þ'..~~...,~~~
~MrKD
Not PublIc
My commission expires:
JAMIE DECORA - NOTARY PUBLIC
;
;; My Commission Expires June 27, 2010
State of
Wyoming
:; County of
,~ Lincoln
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