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000477
AFFIDA VIT
STATE OF WYOMING
)
) SS.
)
COUNTY OF LINCOLN
COMES NOW, Double L Ranch #4, LLC whose address is P.O. Box 132, Freedom, Wyoming
83120, acting through its undersigned officer, being duly sworn on oath according to law, does
hereby make the following statements of facts and affinns:
1. That Double L Ranch #4, LLC is an owner of the land described under the Certificate of
Surveyor on the plat titled, "DOUBLE L RANCH EAST SUBDIVISION WITHIN GLO
LOT 2 NE1,4 NY2SE1,4 SECTION 28 T36N RI19W LINCOLN COUNTY, WYOMING",
dated 25 May 2006, as revised.
2. That the undersigned has reviewed said plat.
3. That the undersigned has read and understaqds 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 It day of February 2007.
,A WYOMING LIMITED LIABILITY COMPANY
Attest:
Lance Mortensen, Managing Member
On this 1G:i~ay of February 2007 before me personally appeared Lance Mortensen, who did
say that he is the Managing Member of Double L Ranch #4, LLC, and that this instrument was
signed and sealed on behalf of said company by authority of its member and acknowledged said
instrument to be the free act and deed of said company.
Witness my hand and official seal.
ANGIE PUTNAM· NOTARY PUBLIC
COUNTYOF &\ STATEOF
LINCOLN . WYOMING
MY COMMISSION EXPIRES SEPT. 9, 2009
Commission Expires: q - Q - J.ÇJ;If
RECEIVED 3/7/2007 at 4:36 PM
RECEIVING # 927423
BOOK: 650 PAGE: 477
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY