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
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