HomeMy WebLinkAbout942163
Claim of Lien
RECEIVED 9/11/2008 at 8:45 AM
RECEIVING # 942163
BOOK: 704 PAGE: 632
JEANNE WAGNER
LINCOLN COUNTY CLERK. KEMMERER. WY
..............................................................................
State of
Coun1¥~!
separately)
on the followin~ described re~1 property in
State of \J\J\~ ~')"Y) )~
(Describe rea~roperty sufficientl" for identification, including street and number:
d "~'VV . 7.
County,
owned
by Cfivtt;--no.r- r {~S
total value of
of which there remains unpaid .
and furnished the first of the items on ~ ~ {t r;r
items on -S u.Uj ~ ~
not in privity with the owner) that the lienor served his notice to owner on
20 by
, 20 0<6
"f ~
Dollars ($ .' '6: "'Ì~ ~ <g ~
I'~ I
Dollars ($., ê:; '2.~I.t.~ '60
, 20 (!j[ and tne féJ<t of the
and (if the lien is claimed by one
(Method of Service)
ed. copi~s of the notice on, th contract on
( .e..-..J VVl.O<.. (
(Method of Service)
Q-9-0f
, and on the subcontractor
on 20
lender
, by
up'V)
. and (if known) on the
, on
, by
(Method of Service)
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IF 136 . Rev. 04104
,·n-
Signed this
day of
,20
Lienor:
~hv~s
"-
LoAfS
~ Jif ttvt c€.d
:fJlt ~ u r at: (0 Y1
COû633
By:
Officer or Agent
~.
State of . .
County of . ':':::",,1
&rf~~£r
}
c¡r-
, 20£ before me,
{'/¡r/5
h,v/ 5
On
appeared
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
-¡{J~~~
Signature of Notary
Affiant
Known_Produced ID TD DHII".t.-r',$ Ù CL--........
Type of ID
(Seal)
DEBORAH SCHWAB - NOTARY PUBLIC
County 01
LIncoln
Stale 01
Wyoming
My Commission Expires ,July 21, 2010
~~¡~I
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C 2004, Socrates Media, llC
lF136· Rev. 04/04