HomeMy WebLinkAbout934154
Prepared by, recording requested by
and return to:
Name: J;.r~J. Er¡"c..~1 __
Company: ErÙ.Ißø/l 6(..e:lt, ßf5 J./I£.
Address: fo ÓoX 'II-if
'City: ~tflë.
State: lVr zip:S3lJl
Phone: 3:>J - ~go- g'lrs-
Fax:
RECEIVED 10/18/2007 at 10:46 AM
RECEIVING # 934154
BOOK: 675 PAGE: 917
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
OOOgj.7
-m---m----------Above this Line for Official Use On -------------------
LIEN STATEMENT -INDIVIDUAL
(Wyo. Stat. §29-2-106)
1. The undersigned began providing labor a;Jt0r materials under contract for the
above-described property on the Æ- day of , i ' 20£.
2. Work was substantially completed of the contract rnish materials ~as
substantially completed on or about the /0 day of 20 O?
.
3. The undersigned has furnished the following labor and/or materials:
Labor/Materi~ls Date , l CostlValue '{;l.
qcauAT/ð~ 7-/Ið(?a; l- 6, 9ð'o
4. The undersigned&reby claims a lien against the above described property in the
amount of $ ~/ 980 .
I
Thisthe 17- dayof {èmbó
,20 tJl-.
#~~
i
I
STATE OF WYOMING
.
COUNTY OF r/ut-t~
.,'
000918
~ subscribed to before me under 0 th this the 171;..-/ day of
. , 20-º.L, by .
who acknowledges that the matters and things all ed in the foregoing Lien Claim are
true and correct to the best of his knowledge as therein stated.
~~
Notary blic tI
My Commission Expires:
(SEAL)
/} -/S'.--ð'1
WY § 29-2-106
~ JOAN JENSEN· NOTARY PUBUC
, . STATE OF
COUNTY Of WYOMING
LINCOLN 15 -01'
MY COMMISSION EXPIRES 1 ~