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CLAIM OF LIEN BY HK CONTRACTORS, INC.
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NOTICE IS HEREBY GIVEN that HK Contractors Inc., POBox
51450, Idaho Falls, Idaho 83405, a corporation, the claimant
herein, claims a lien against the real property hereinafter
described for money due and owing for labor performed and/or
materials and equipment furnished in the improvement of said
property. The labor, materials and equipment includes but is not
limited to asphalt paving.
Said labor and/or materials or equipment was performed and/or
furnished at the request of Cole Elquist. The lien is claimed
against both the owner and the party requesting the work.
Performance by Claimant was commenced on or about October 31, 2008
and ceased on October 31, 2008.
The real property subject to the lien is located in Lincoln
County, State of Wyoming, and is more particularly described as
follows:
Rfè
Lot 2 of Forest River Reserve¡ ¡O~~
The name of the owner or reputed owner of said real property
is Salt River Ranch LLC whose last known address is 2401 Lake Park
Drive Ste 355, Smyrne, GA 30080.
The unq.ersigned certifies that he has mailed a true and
correct copy of this Claim of Lien to the said owner or reputed
owner at the foregoing address by certified mail, postage prepaid.
The amount unpaid to Claimant, after deducting all just
credits and offsets, for which this lien is claimed, is $6,200.00
plus accrued interest and costs involved in the filing of this
Claim of Lien.
WHEREFORE, the Claimant hereby claims a lien against the
above described real property and against the improvements located
thereon for ;the said sum of $6,200.00, plus interest, and other
related costa.
A copy of the contract FOR THE WORK IS attached hereto as Exhibit
A, and incorporated herein by reference. HK Contractors performed
the work described in the contract. A list of the work performed
and materials furnished is attached hereto as Exhibit B.
RECEIVED 2/19/2009 at 3:19 PM
RECEIVING # 945446
BOOK: 715 PAGE: 850
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, wY
00&851
This claim is made on behalf of Claimant by the undersigned,
Raeo Roos, who is the Credit Manager of the Claimant. The
undersigned hereby certifies that he is knowledgeable of the
matters stated herein and verily believes the same to be true and
just.
Dated this
I ò. -ð\
day of February , 2009
HK
An
Contractors Inc.
Ida¡¿;rn
RAEO ROOS
BY
STATE OF IDAHO
ss.
COUNTY OF Bonneville
On this fa. -rJJ day of February, 2009 before me, the
undersigned, a Notary Public in and for said State, personally
appeared Raeo Roos, who, being by me first duly sworn, declared
that he is the Credit Manager of HK Contractors, Inc. a
corporation, who executed the instrument on behalf of said
corporation, and acknowledged to me that such corporation executed
the same. Further, the said person being duly sworn upon oath,
verified that the statements contained in the foregoing instrument
are true, accurate and correct to the best of his knowledge and
belief.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my
official seal the day and year in the certificate first above
written.
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aho Falls, Idaho
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QT'. .1 MATERIAL rPRICE AMOUNT
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- H-K CONTRACTORS, INC.
.
P.O. Box 51450
IDAHO FALLS, IDAHO 83405
I . (208) 523·6600
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TAX
¡SIGNATURE DATE COlv1PLETr.:::O I crhank ~U PAY THIS AMOUNT Q
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CONTRACTORS, INC.
P.O. Box 51450
Idaho Falls, 10 83405
208-523-6600
To: Cole Elquist
PO Box 8190
Jackson, VVY,83002
Item - Descriction
1 - Pave Bridge Deck at Salt River
INVOI'-'_
Units
100 % LS
Invoice No:
Invoice Date:
Contract:
Customer No:
Terms:
Due Date:
Application:
Cust Ref:
..- u
2883
11/15/2008
700149.
1568
Due Upon Receipt
11/15/2008
1
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Job Information:
Elquist, Cole-Bridge Deck
Unit Price
6,200.00
Total Due:
If you have Questions regarding this billing, please contact us at 208-523-6600
Remit to:
HK CONTRACTORS, INC.
P.O. Box 51450
Idaho Falls, 10 83405
Customer Name:
Customer No:
Invoice Numþer:
Invoice Amount:
Cole Elquist
1568
2883
6,200.00
Amount Remitted:
Total
6,200.00
.6,200.00