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HomeMy WebLinkAbout9501626G 4 G 8 LIEN STATEMENT Pursuant to North Star Utility Rules and Regulations, Section 8B (for water) and Section I OB (for sewer), North Star Utility hereby files this lien statement for nonpayment of water and sanitary sewer service as set forth below. 1. The name and address of the person seeking to enforce the lien is: North Star Utility P.O. Box 3910 Alpine, Wyoming 83128 2. The amount claimed to be due and owing: $ 156.53 as of September 30, 2009 plus interest at 18% per annum, attorney's fees and costs of collection. 3. The name and address of the person or entity against whose property the lien is filed: North Shore Capital Thomas Hotz 2126 Wyoming Ave. N.W. Washington, DC 20008 4. An itemized list setting forth and describing the services delivered or performed: Water and Sanitary Sewer Service 5. The name of the person against whom the lien claim is made: North Shore Capital, Thomas Hotz. 6. The legal description of the premises where the service was provided: Lot 44 of Alpine Meadows Alpine, Wyoming. Executed this 20th day of October, 2009. North Star Utili • Title: Pre ent STATE OF WYOMING ) ) ss COUNTY OF TETON ) The foregoing instrument was acknowledged before me by /i~{t~xEL 1►>~this day of , 2009. Witness my hand and official seal. a I. L k < - ~ ~a- I- Notary Public My Commission Expires: 71-a'1l A v / a RECEIVED 10/23/2009 at 10:20 AM RECEIVING # 950162 JUUE S. FRAPPART - NOTARY PUSUC COUNTY OF STATE OF TETON WYOMING MY COMMISSION EXPIRES 7.31-2012 BOOK: 734 PAGE: 468 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY