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WYOMING LEIN STATEMENT
THE UNDERSIGNED LIEN CLAIMANT, pursuant to Title 29,Chapters 1 and 2
of the Wyoming Statutes, is filing this Lien Statement at the Office of the County Clerk
for the County of Lincoln State of Wyoming, as a claim and lien on property and for the
matters described and referred to herein as follows.
(1) The Undersigned Jeffrey Roberts whose address is PO box 5287
Etna Wyoming 83118 is the Lien Claimant and person seeking to enforce this Lein.
(2) The amount of the claim for this Lien, which is due and owing to the lien Claimant is $455.00
Plus interest at 1.5% per month and filing fees from December 10 2008
(3) The names and address of the persons against whose property this lein is filed is
Sean & Melissa Cooney 316 Vista East Star Valley Ranch 83127
(4) The following itemized list describes the materials, work, labor and services deliverd to and performed
Snow Plowing Refer to itemized list as Exhibit "An
(5) The persons against whom this lien claim is made is Sean & Melissa Cooney
whose last known address is PO Box 1080 Thayne Wyoming 83127
(6) The materials, work, labor and services referred to in Paragraph "4"
here in above were performed on the 10th Decamber 2008 through 24 January 2009
(7) The legal description of the premises where the materials,work, labor and servises were deliverd to and
performed at is
STAR VALLEY RANCH PLATT 11 LOT 9 TAX #3518 304 0114700
Street Address 316 VISTA EAST STAR VALLEY RANCH 83127
(8) A copy of the contract for this claim of lien is attached as" Exhibit A"
Dated this 3rd Day of February 2009
By
Signature
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RECEIVED 3/16/2009 at 10:27 AM
RECEIVING # 945871
BOOK: 717 PAGE: 633
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
EXHIBIT "A"
COONEY PAST DUE BILL
For Snow Plowing
316 VISTA EAST STAR VALLEY RANCH WYOMING 83127
December 10 Invoice #389351 $35.00
December13 Invoice #389352 $35.00
December 15 200810am Invoice #389354 $35.00
December 15 2008 2:30 pm Invoice #389356 $35.00
December 21 2008 Invoice #389361 $35.00
December 22 2008 7:30am Invoice #389363 $35.00
December 22 2008 1 :26pm Invoice #389369 $35.00
December 26 2008 Invoice #389374 $35.00
December 292008 Invoice #389378 $35.00
January 5 2009 Invoice # 389384 $35.00
January 7 2009 Invoice #389390 $35.00
January 122009 Invoice #389397 $35.00
January 24 2009 invoice #482903 $35.00
INVOICE TOTAL $455.00
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