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HomeMy WebLinkAbout947336RECEIVED 5/22/2009 at 3:18 Pm RECEIVING # 947336 BOOK: 723 PAGE: 627 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY LIEN STATEMENT KNOW ALL MEN BY THESE PRESENTS: That pursuant to Wyo. Stat. Ann., 2007, § 29-2-101 et seg, the undersigned Option Supply, Inc., wishing to avail itself of the provisions of the above referenced Statutes and to ensure attachment and perfection of a_ lien to secure payment due for furnishing labor, services and materials for the benefit of and upon the lands hereinafter described in Lincoln County, Wyoming, hereby states and declares that it claims a lien pursuant to said Statutes in the total amount.of Forty Three Thousand Bight Hundred Twenty Four and 84/100 Dollars ($43,824.84), together with interest, finance charges and costs as allowed by law. The lien claim asserted hereby is based upon the following: 1. The name and address. of the person and/or entity seeking to enforce the lien is Option Supply, Inc., 4415 :North Lewis Ave, Sioux Falls, SD 57104. 2. The amount claimed to be due and owing is Forty Three Thousand Eight Hundred Twenty Four and 84/100 Dollars ($43;824.84), together with interest, finance charges and costs as allowed by law, which amounts are continuing to mount. 3. The names and address of the persons against whose property the lien is filed are: Property: BST Hospitality Addn Lot 1, 14.07 acres, T21 8116 S26, 760 N Hwy 189 & 30, Diamondville, Wyoming Owner: BST Hospitality LLC 2018 Basin Drive Kemmerer, Wyoming 83101 4. An itemized list setting forth and describing services rendered is as follows: Jnvoice No. - Date Materials/Labor Amount 13629 2/12/2009 Timely Frames $14,800.00 13682 2/28/2009 Doors $27,455.80 13729 3/17/2009 Doors $1,569.04 A copy of the above described Invoices and underlying Purchase Orders is attached hereto as Exhibit' A" and incorporated herein by reference. 5. The name of the person and/or entity against whom the lien claim is made us: is: 97-- GiA28 D7 Enterprises, Inc. d/b/a Rocky Mountain Supplier P.O. Box 1867 Castle Rock, CO 80104 D] Enterprises, Inc. 14401 East 33"' Place, Unit A Aurora, CO 80011 6. The date. when the materials were last fumished is March 12, 2009. 7. The legal description of the premises where the materials wete furnished BST Hospitality Addn Lot 1, 14.07 acres, T2 IN, R1 16W, S26, 760 N Hwy 18.9 & 30, Diamondville, Wyoming 8. The contract between Option Supply, Inc. and DJ Enterprises, Inc. d/b/a Rocky Mountain Supplier was:orl, DATED this ~ day of May, 2009, t 6 Subscribed and.swom to befo re me by. of Option Supply, Inc. this I !day .of May, 2009. r Nota Pubhc Myeo~nmsionelc ices AFTER RECORDING PLEASE RETURN TO: HARRY B. DURHAM, II I OHIO OIL OFFICE BUILDING ACKNOWLEDGMENi59 NORTH WOLCOTT, SUITE 200 STATE OF SOUTH DAKOTA GASPER, WYOMING 82601 ) . COUNTY OF SS The foregoing instrument was acknowledged before one by ~_S C 0+ of Option Supply, Inc. this -jK%day of May, 2009. Notaj~ Pu lic my c m ission expires: -2- 04/22/2009 14:52 EA& 847 432 OVOU ZMALrA", a"twowaln Rek-18 lU 04:23 PM Option Supply FAX NO. 806 334 1649 OPTION SUPPLY, INC. 4415 ; NORTH 'LEWTS AVE SIoUX FALLS,' SD 57104 P. 04 Invoice Invoice Number 13625 Invoice Date: b 12 .2nna Fe -629 , V A oice; 605-333-9893 0V' Sales Order Fax. 605-334-1649 Sold To: " ROCKY MOUNTAIN SUPPLIER C/a DJ ENTERPRISES" ' 14401 EAST 33RD PL'A'CE UNIT A AURORA, CO 80011 Ship to.-` ' ROCKY MOUNTAIN SUPPLIER C/O DJ ENTERPRISES 1440,1 - EAST 33Rd PLACE UNIT A -AURORA, CO '40011 Page: 3 Custiom8r'ID , , ,Customer PO Payment Terms ROCKYMTNSUP Net 30 Days Fa~c # :.S1,ippin 'Method 'Ship- D,06' Dw bate 303-339-8461 „ Cult. Pick 214109 3114/09 Quantify ' Item Description _ Backorder Qz) Unit Price Ex=sioar ' 200-00 =731 IMELY FAMES -COLOR: WE Sff 80.00' 18,000:00. WHITE.. DEDUCT DELIVERI' COSTS AS,PART OF -1,200AfY,: RIGWAL QUOTE FEB 1 2' 2ao,~ MAR ZOM ' Subtotal 14,800.00 Us .fax Sales Tax A+(o' otfrerr: avPY :w,t%l~ be sent Thank' Yod Total Invoice.Amount 14A4e.JF' j.:. EXHIBIT `~1nit Jl ~ r~ m:+939-&161 AVIS li sD 5710 ~J bd9 ~x Oemipdion ~ZoO's 11; 43/ST, i 1: 41 A40. ?517019W P 2 purchase Order (;W630 age P.O.N0. 1=2=4 3118 Slap To W Ealwprieca, lna dbe Rod y pMouataln SOpplkr 14a1 Eau 97n! Ply WS A AUMM. CO 8001) Expodad strip vin 1?J2?11008 llur MY I JYu ~v 5h, _MI Wldta 7ta* Promo A5A.bike 4' well th ab"M 61l RHo" LH40 20 win dlmd 68 I J44 20 Wo aded 6S Kl'l-1 LA-2 45 min raW fill Rt41 60 min tared 41 wall OlicJole»+ 69 L.H-2 30 ruin nltod m Dallblo 20 wla resod 70 RN-1 LK-) 20 ado rzM fit: RR -1 90 nun rend +1- wwi ihick aos Sg RtH-2 W-a 20 min ramal fiQ LH-I 30 Oda Ilmod 0 RH-1 LH-1 30 Iota raw 70 M-1 20 min rued jr wail Ihidcacyy S8 M-9 L" 20 min rated Bl Do" 20 min total RK-1 nun flood 8" wail Nelaw Bame Ibr 13/4 door 62 R14-1 LH-4 non T" /681 1-15 L.H-11 am ranrd si 90-22 LA-23 non rated a1 dclkwd APPmyad By Phoge 96 2 l Z I 3 1 z 1 12 1 'S 70 45 1 16,100.00 Total Fox -Mwurd - 0.00 0,00 0,00 0,00 0.00 0.00 ON 0.00 0,00 0.00 0,00 LOU uoa 0.00 0.00 LOU 100 0.00 16,100.00 616.100.00 V'1/GL/GVVO lY.U-7 1'l1A. V'!f -!UL flrx-1 b- iU U4;23 FM VOUV 1.L111t1L1'L)1W,V11 l111Vuflsll Option Supply FAX NO. 606 334 1649 ..J vvv P, 06 OPTION SUPPLY, INC, Invoice 4415 NORTH.' LEM. S AVE SIOUX' FALLS, 5D • 57104 Invoice Number: 13682 Invoice Date: Voice: . 605-333-9893 Feb 28, 2009 Fax: 605-334-1649 clo )a~. Sales Order page: Sold To: Ship to: 1 ROCKY MOUNTAIN SUP PLIER BEST WESTERN C/O DIENTERPRISES US HWY 89 P,O. BOX 1867 . KEMMERER WY 83101 , CASTLE ROCK, CO 80104 Cus amer ID Customer PO Pa t Terms ROCKYMTNSUP 3119 Net 30 D w)z Pax # S in Method Ship ]date' Due Date 986-?23-~po5 • Beak way 7J2?!08 3/30/09 Quantity Item. Description ackorder Unit hico. Extension 208: 20741 WHITE MAPLE FINIS"6-95 13Ze0 27,5W.ao VARIOUS RATINGS 3.00 20741 EXTRA - 2o 'MIN RATED - 125.00 375.00 APLE FINISH:3&95 r ' PUER "DROP-SHIP" -500AU ARGE; AS PART OF RIGilkAL OTE. MAR -.:5 2009 Subtotal. 27,455.80 farxO, inwv/ce. S ales Tax J1~o other►,~IVpy' l!/:`.be sent. Thank' Yod Total bmice Amount 27„4$5.50. hrv10-Luau LRU V4-r_O III VNO Lvn -rr 4 ]Rocky MOWMIA 6uwkr 144031 M"t 3rd Plums Unit A Aurma lo 00 W011 Purchase Often ~Dela P.fl'.IVo. 9 3l tiI Ph 303375.1303 Fog 303 33%wal Venda' iploe S~ipp11t ]iri • 4416 9 Lai" Ave SWo vws SD57J04 d~-20Q~-3'94'l 406-394.1 04P !'ax Up Tp Jleaer~~ ~ tis Hwy 1 W • Itaomaea'w~r~31aI >3peded ~Fllit4~~ MOO Pax i oas o wqy- {~6s- X33 G4S` 33 x{449 CSY I1at9 Mmuht Lyn" rowpa iRt Cavafae(or**W) ~1Ofae Me~lu 1#60 'ifpkq Sput11ad Dif[Ow1 AIL Prgw Am Twenty Pte' Non RNOW Doors 13M valid MM loa 300 -i R • 140 ~tJfi 3l M [.N-IS Jt11r15 1fio w pmp - . 30 400 2 760 WO LX-23 wf2a Ico W ~ It!W 45 0.00 16v lodt peep 1 0.00 liH~ t6D PMO O"Ps to Munk HM FMM _ 9.00 ? 104 W4rl2 I60lock" 17 O,pq 3Q1111i LI1.1 R]i-1 NQ 2 3QIH 1.1G-il RH-43 on ~e l~ Gwpt Lak 34 3W~t lA-3 LOU Iwn MI-1 R11r I Nor pW Z 0410 Om 3WROUVW RH-1 MOOM 2 000 30M 31.141 No SOP twr M■Cding Sphi.¢ TJASN OID L 400 3M 1111-J [to Lw* P=p ~ a aa0 3074 1 b* QW lo BI HM P wen AmmvK 3rl pzop 4t M+tkh 1 0.44 45 A4k LiWiW Dftis 134 L OHri alionfae~Card=ad~pA+op 3 0.00 W g• 14e d Do=1614 301taiRH•] 1601oO]c4ivA i 0.00 63 ! 1 I 0 0.00 Oe, Appvvr4 Total Papa, o'* Z Usi cci 4vvtw L%; as raA Q%( 'tic vifuu ~mtai.r na~,.a rrtu~auni~ RNK-16 .,iU 04;24 PM Option Su P P t y FAX NO. 605 334 1649 ' Redty tYlonaWn SWPget' s'C 14401 MW 33rd Phm, 'chit A Aumm CO SM11 633 Ph MO-M•1310 Fa M u9-6461 V"ftr skip TO 9u~P1uY ln~' ' . Scot Wcslem 4415 N L. S ~trw cis MY 10. 9oafdb 9D57)04 iramaa~sr'IK~I'831Q1 • 88~~AO.~a67 d45-33.1649 6x 'a J V V V I P. 06 ise Order IN ! R.Q. Na "W". 311Y -Q 6>ted Ship Yee phone Fax r 11f12f~Op8 &V wp r PAft I i ARIWIHZ 'aD Jl+lin l.ab" 1Soors 139 30U RB-1 Na Bav i I 0.00 17j .00 i 27, t0.o0 i ~.it#O.t1D OPTION SUPPLY, INC. 4415 NORTH I.EWIS AVE SIOUX FALLS, 50 57104 voice: 605-333-9893 Fu: 605-334-1649 Sold To; ROCKY MOUNTAIN SUPPLIER C/O DJ ENTERPRISES" P.O. BOX 1867 CASTLE ROCK, CO 80104 0®x63°- Ship to: BEST WESTERN US HWY 89 KEMMERER, WY 83101 Invoice Invoice Number: 13729 Invoice Date: Mar 17, 2009 Sales Order # Page: 1 Customer ID Customer PO Payment Tw as ROCKYMTNSUP. EXTRA DOORS Net 30 Days , Fax # Shipp ing Method 'Date Due Date 868.223.1005 Best Way 3112109 4116/09 Quantity Item Doscriptiou ackordvrQt5 Unit Price Extension I. 20772 70 X 1 3 3P DOOR PREFIN SHED 383.00 393.00 NNAMON 36-85 2. 20772 70 X 1314 3P DOOR•PREF1 NISHED 468.00 936-00 INNAMON 36-95 - PAIR 1.00 REIGHT REIGHT 176.32 175.32 F ->6EY:;P MAR 1-8 2009 Subtotal 1,494.32 By pl fer~r/ Im"ffeo aaTwe T„r 7d 7? Ab other COPY will be sent.: Thank Yod Total Invoice Amount 1,569.04 ;rU. 04:24 Nf1 Option supply FAX NO, 605 334 1648 P. 12 Corporate Office: 4415 N. Lewis Ave,, Sioux Falls, 80 57104 Phone: (605) 333.9893 or (888) 200.3967 FAX: (605) 334.1649 'yOPTION SUPPLY _ , INC. ~a PURCHASE ORDER DATF. 141mi Pn 4• 20-7 -7 Z VENDOR: 6& • :vrds' 'N' ~ ~T+, 1i, : M~-~ :r• ~ , f . vr~ I~YeF [ ~ ~ :~~-';fYt'.g y.. ~M1 •~r. ~ 1.i ~ ~.~r • i. + •v q _ t. I. ~ I',,: t.. •~C': UNIT r% A DESCRIPTION UNIT COST„ SELL. COST rOw4 w we 2 Al, 3 G 3 o , ILh as, d~ 'pArjelga lay iiIE' CIA . INSTRUCTIONS d -da N aPPR&ED SY S+ 8 0 3 Ir 0` I F ~l