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AFFIDA VIT
STATE OF WYOMING
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) SS.
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RECEIVED 11/16/2007 at 1:26 PM
RECEIVING # 934938
BOOK: 679 PAGE: 56
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF TET8N
'-/N c.. 0 W\J
COMES NOW, Kar~n P. Poore, whose address is
5'31 ¡;¿Q.<ñ of- bGO 11!.,r-fC.. A, /-ogcuz CAT 7f'f3/)./ acting through its undersigned
officer, being duly sworn on oath acéording to law, does hereby make the following statements
of facts and affirms:
1. That she is an owner of the land described under the Certificate of Surveyor on the plat
titled, "PLAT TO ACCOMPANY PARCEL DIVISION APPLICATION FOR NELDA P.
PARSONS, ET AL. WITHIN THE NWY-iSWY-i SECTION 19 T32N R118W IN TH E
INCORPORATED LIMITS OF THE TOWN OF AFTON LINCOLN COUNTY,
WYOMING", DATED 4 MAY 2006.
2. That she has reviewed said plat.
3. That she 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.
DATED this -.LL day of t1fÁfJUSt- 2007.
¡( CVunt ? fJ ð1J-1Æ -FI< ~ -f(~ 7?1 ay ~
Kar,en P. Poore cr
o
I-h
The foregoing instrument was acknowledged before me by Karen P. Poore this II day of
Iluffu A:t'" , 2007.
/
MINDY LYMAN NOTARY PUBUC
COUNTY OF . STATE OF
LINCOLN WYOMING
MY COMMISSION EXPIRES FEBRIIARV 1, 2011
Commission Expires: z- ( - Zo ( (
Town\Afton\North Afton Sewer and Water\Lyndon Parsons