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AFFIDA VIT
STATE OF WYOMING
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) SS,
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RECEIVED 11/16/2007 at 1:45 PM
RECEIVING # 934941
BOOK: 679 PAGE: 58
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
COMES NOW, E and D Inc. a Wyoming Corporation, whose address is PO Box 3606, Alpine,
Wyoming, 83128, acting through Donald E. Goetz, its Manager, being duly sworn on oath
according to law, does hereby make the following statements of facts and affirms:
1. That he is an owner of the land described under the Certificate of Surveyor on the plat titled,
"FINAL PLAT TWIN PINES ADDITION TO THE TOWN OF ALPINE WITHIN GLO
LOT 6 SECTION 29 T37N R118W LINCOLC COUNTY, WYOMING", dated 27 June
2007.
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.
E and D, Inc
/ (p .JÁ day of 0 elJ.ßV
,2007.
/
/
Donald E. Goetz, Manager
The foregoing instrument was subscribed to, sworn and acknowledged before ~ by Donald E.
Goetz, '1: / did say that he is the Manager of E and D, Inc., this 0 it( day of
O<z ~ ,2007.
Witness my hand and official seal
£JdL.w
Notary Public
KARl F. SCHÈRfJ~l. ".I,ARY'PUBuc
=Of ~ State of
., WyomIng
My Commission EXD;r"~
Commission Expires:~ c..ul¿. ~ '''- -'- ~
T/R 37-118-29/E and D,lnc.-Don Goetz