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CERTIFICATE OF OWNER'S SIGNATURE
000093
COMES NOW, Gomm Family Association, Inc., whose address is Smoot, Wyoming· acting
through its undersigned officers- does hereby make the following statement of facts:
1. That Gomm Family Association, Inc., is the owner of the land described under the
Certificate of Surveyor on the plat titled, "GOMM FAMILY ASSOCIATION
SUBDIVISION AMENDED WITHIN GLO LOT 4 SECTION 17 T30N Rl18W LINCOLN
COUNTY, WYOMING", dated 8 October 2008, as revised, and recorded concurrently
herewith.
2. That the undersigned officers have reviewed said plat.
3. That undersigned officers have read and understands the provisions of the Certificate of
Owner thereon and the implications thereof.
4. That this certificate is signed in the stead of and has the same effect as if the original Mylar
of said plat had been signed.
DATED this J:l day of ~ 2008.
;:¡~::(;¡~/
F~~
Thiel James Gomm, Officer
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Ben Parker Gomm, Vice-Chairman
STATE OF WYOMING
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) SS.
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COUNTY OF LINCOLN
The foregoing instrument was acknowledged before me by Fred Bryant Gomm, Ben
Parker Gomm and Thiel James Gomm, Officers of the Gomm Family Association, Inc., this
\L\ dayof~L+Ö~ ,2008.
Witness my hand and official seal.
~J}¡ ;jJ cJhnnOJÁJ
Notary Public
Commission Expires: 'f ~ u...s f 02..0 t Ö
,,"l:.,,¥W~'J~'PI..·;¡-~.~r':~'i1~J:.<,.e\l~'';',
AMBER D. THOMAS - NOTARY PUBLIC'
County of
Lincoln
State of
Wyoming
My Commission Expires August 9, 2010
-....
RECEIVED 11/14/2008 at 9:13 AM
RECEIVING # 943627
BOOK: 709 PAGE: 93
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
SID Gomrn Family Association Amended