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000865
STATE OF WYOMING
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COUNTY OF LINCOLN
In accordance with Statutes W.S. 34-11-101, we the undersigned, Kelly A Johnson and Celia A
Johnson whose address is P.O. Box 113, Smoot, Wyoming 83126, being duly sworn on oath
according to law do hereby make the following statement of facts and affirm:
That we are the owners and proprietors of real property shown on the plat titled "Plat to
Accompany Amended Parcel Division Application for Kelly A Johnson and Celia A Johnson,
Parcel C-l Amended within the SY2SE~ Section 25, T31N, R119W, Lincoln County, Wyoming"
dated November 13, 2002 filed as Plat No. 395-1, Instrument No, 885673 in the Office of the
Clerk of Lincoln County,
It is our intent to substitute the land described on attached Exhibit A for the land described as
Parcel C- Amended depicted on above described plat.
RECEIVED 6/20/2007 at 3:09 PM
RECEIVING # 930550
BOOK: 662 PAGE: 865
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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, elia A Johnson /
The foregoing instrument was subscribed and sworn before me by Kelly A Johnson and Celia A
Johnson this /f day of ~./ 2007,
Witness my hand and official seal.
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N Public '
Commission Expires: {,. ~ 0 .. ~tJ ð 7
JILL H. LARSON· NOTARY PUBLIC
COUNTY OF
UNCOlN
STATE OF
WYOMING
MY COMMISSION EXPIRES JUNE 20 2007