HomeMy WebLinkAbout951410CERTIFICATE OF OWNER'S SIGNATURE
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COMES NOW, Kamloops /Shoshone, LLC, a Georgia limited liability company, whose address
is 2421 East Lake Road, McDonough, Georgia 30252 acting through its undersigned officer,
does hereby make the following statement of facts:
1. That Kamloops /Shoshone, LLC is the owner of the land described under the Certificate of
Surveyor on the plat titled, "BROKEN SKI POLE SCJBDIVISION WITHIN GLO LOT 5
NW 1 /4SE 1/4 SECT1ON 4 T36N R 119W LINCOLN COUNTY, WYOMING dated 4
November 2005, as revised and recorded concurrently herewith.
2. That Hiram A. Davies, Manager of Kamloops /Shoshone, LLC has reviewed said plat.
3. That he has read and understands the provisions of the Certificate of Owner thereon and the
implications thereoff.
That this certificate is signed in the stead of and has the same effect as if the original •Mylar
of said plat bad been signed.
DATED this /4 day of Pe 4. rmcbv
Kamloops /Shoshone, LLC
RECEIVED 1/6/2010 at 9:45 AM
RECEIVING 951410
BOOK: 739 PAGE: 431
Hiram A. Davies, Manager JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF GEORGIA
COUNTY OF 1-�•�,.•.r -y
The foregoing instrument was acknowledged before me by 'Hiram A. Davies, Manager of
Kamloops /Shoshone, LLC, this 10 day of DCGe.,,.,,,{j,r.y 2009.
Witness my hand and official seal.
Commission Expires: litihz.
SS.
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