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Home My WebLink About936705 WHEN RECORDED MAIL TO: Kelly A. Silvester, ESQ. P.O. Box 1203 Bountiful, Utah 84010 RECEIVED 2/4/2008 at 3:08 PM RECEIVING # 936705 BOOK: 685 PAGE: 598 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 000598 LIEN STATEMENT NOTICE IS HEREBY GIVEN that the undersigned Lien Claimant hereby claims, pursuant to the provisions of Chapters 1 and 3 of title 29 of the Wyoming Statutes, a lien against the real property located within the County of Lincoln, State of Wyoming, as more particularly identified herein, for materials and services rendered for improvements to or upon said property, as follows: 1. NAME AND ADDRESS OF LIEN CLAIMANT: Brundage-Bone Concrete Pumping 350 West 700 South Pleasant Grove, Utah 84062 2. AMOUNT OF CLAIM DUE AND OWING: $738.04, together with interest, recording fees, attorney fees & collection costs 3. NAME & ADDRESS OF PERSON AGAINST WHOM PROPERTY THE LIEN IS FILED: GRAND TETON BUILDING P.O.BOX1080 Thayne, WY 8127 4. ITEMIZED LIST OF MA TERlAL DELIVERED OR WORK PERFORMED: Provided concrete pumping, material & labor 5. NAME & ADDRESS OF PERSONS AGAINST WHOM LIEN IS CLAIMED: OWNER: William D & Regina R Cooney 5381 Forest Ridge Road Clarkston, Michigan, 48346 6. LEGAL DESCRIPTION OF WHERE WORK WAS PERFORMED Parcel 12-3518-30-1-02-105.00 Plat 8, Lot 22, STAR VALLEY RANCH Subdivision, as platted and recorded in the Official Records of Lincoln County, Wyoming. 7. FIRST DATE MATERIALS/LABOR 8/22/2007 Lien Statement Page 1 of 2 AND SERVICES PROVIDED: 8. LAST DATE MATERIALS/LABOR AND SERVICES PROVIDED: VERIFICATION & NOTARIZATION State of Utah ) )ss County of Davis ) 8/22/2007 000599 KELL Y A. SILVESTER, being fIrst duly sworn, deposes and states that he is the authorized agent for Brundage-Bone Concrete Pumping, Inc., the Lien Claimant, that he has authority to execute the foregoing Lien Statement on behalf of the Lien Claimant, and believes the contents thereof to be true and correct to the best of his knowledge, information & belief, In ~es~ whereofhe has executed the foregoing Lien Statement on this S ( day of ~ rv , 2008. SUBSC-7~ SWORN before me, a Notary Public for the State of Utah, on this :9" day of 2008. p v' ...~" NANCIE SILVESTER ~. '\ NOTARY PUBLIC· STATE OF UTAH ~ . ¡ 474 WEST 1050 NOR'IH \ i CENTERVILLE UT 84014 . , My Comm, Exp. 03/15/2009 Lien Statement Page 2 of2 ',' ,.~,;" Work O;dBTI . <~:. Job Tag ,£~~(!ÆM "', . _,' I.. ii{ i I . Date, :g~,Ã.:<' - ó"¡' I ~-;P..J; I" r-1~é :.I! 1'-, V ... .-;p ~;I¡- I.... /t. -1-' ' .. 3:îo WE~n ïCO soum '. Pt,.EASANT GROVE. liT 640112 1:,''';; ..'. (spi) '785--"9803. FAX (60il 70~-913i6~ ' (" UI\HT NUMBEp,.: 2. 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". .,. {t,,¡Him) "._ ""'.M_'_~'~'~"~'~"""'.". .. , .. ....... ~ .- .. . .... - .., '~'?hlJnr:: Yards .E¡umped: 32.50 JQb Date: oßrn12t.J(!'! Salesman: 006 " "Tern,t~: f{EI' L1.PfJt;J' ItEj.~~E~tPJ·' '; Pi\): WfLUAM ! Lots: #22 Size Requested; 32 Pump No; 2153 HQW'5 BiUed: 2.00 VI :(.¡~k Clnlß¡r; 2J·4iSÜ5 QÌj,í_~jht)1 \Jm\ I 32_50 cyds :O~;¡~pti'D!l --~~---- Pri~'e' TJ.LX Line TQtal 89.38 2j(I.aa 50.00 35.00 10.00 YARDAGE CfIA.RGE 2.75 2.íJt'j ,hŒ .HOHPJ.,Y C'J:i.·L'i:C£ llJ.&¥J l.00 ea, LOO 1.00 TRAVEL c:?.ARGE FUEL SDRCHA.RGE 50.00 35.00 H],û(J SLüR"f{¥ @ $W.()VPEXiL BAG Total 414.38 I;\.n Equal OPPÜrlUlUty bmp¡QYc,¡