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000875
STATE OF WYOMING
)
) SS.
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AFFID Â VTT
RECEIVED 3/9/2007 at 9:29 AM
RECEIVING # 927493
BOOK: 650 PAGE: 875
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
COMES NOW, Russell H. Juillerat, whose address is P.O. Box 340, Thayne, Wyoming 83127,
being duly sworn on oath according to law, does hereby make the following statements of facts
and affirms:
1. That he is the owner of the land described under the Certificate of Surveyor on the plat
titled, "DRY CANYON ESTATES A SUBDIVISION WITHIN THE W~SW~SW~
SECTION 2 T33N Rl18W LINCOLN COUNTY, WYOMING", dated 12 January 2007, as
revised.
2. That he has reviewed said plat.
3. That he has read and understands 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.
DATEDthis~aYOf M~ 2007.
The foregoing instrument was acknowledged before me by Russell H. Juillerat this
2 day of ~À.'("'c...\-'" , 2007.
AMBER D. THOMAS - NOTARY PUBLIC
.<i\~ b OA ~ ._""'~
Notary Public
County of
Lincoln
State of
Wyoming
My Commission Expires August 9, 2010
Commission Expires:
SID Dry Canyon EstateslRussell Juillerat