HomeMy WebLinkAbout933898
Prepared by, recording requested by
and return to:
Name: Jdrt!}.J ErJ'cKftJ/1
Company: IE r í'c 1f!A1I A £ ¡f(.4cN1J7f1 - .
Address: 'f1J .j. 7ftJ. ~!~lTJ~ I:J(
City: ~l~ tW
State: VI( ( Zip: 83IJJ
Phone: (Joj) 880-- 8rrs-
Fax:
RECEIVED 10/10/2007 at 11: 18 AM
RECEIVING # 933898
BOOK: 675 PAGE: 122
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
OOOj.22
---------------------Above this Line for Official Use On) ---.----------------.
LIEN STATEMENT -INDIVIDUAL
(Wyo. Stat. §29-2-106)
COMES NOW, ErJ~/&.1/ Q¿"?)(ld.:nrs Me. , as a party who has
performed work or furnished. materials for the improvement of the pro erty loca!ed at and
described as' ì¿: e:.r ',} Ú 1.. . "'-
~ "'"
1. The undersigned began providing labor and/or materials under contract for the
above-described property on the L day of (~~ ,2006 .
2. Work was substantially completed or the contract to furnish materials was
substantially completed on or about the (J;L day of 1Jü.,,~ , 20ft.
.
3. The undersigned has furnished the following labor and/or materials:
Labor/Mate~ials II Date CostlValue iZ
f::J:KJi;!f ~ß- f fJí ~
4. The und2>signed h~rclJy claims a lien against the above described property in the
amount of $ '+ /¡.c.2/ U .
This the ;l/r; day of '5yìt:4!/¡cC .2007.
C~I '"~ .
~ature
STATE OF WYOMING
COUNTY OF !-.//ldt
000123
Sworn and subscribed to before me under Qã!.h this the ;¡ to day of
....'!;¡ft)J1Ùd , 20~ by /)d red Fr/~·Jt'ù~/l
who a knowledges that the matters and things alleged in the foregoing Lien Claim are
true and correct to the best of his knowledge as therein stated.
N~~
My Commission Expires:
(SEAL)
1-/5 -;J,ð09
Jõ;;;eÑseN . NOTARY'PUBUC
. -ð-r'A'I'C Of
UNTY OF' q'''~~''
CO ," WYONING ,
UNC~ ~RES 1-15- -0C;¡
M'l COM~ISSl~ EXPI ',' ' .'
-
WY § 29-2-106