HomeMy WebLinkAbout952263MEDICAL SERVICES PROVIDER LIEN
COLLECTION PROFESSIONALS, INC
P.O. BOX 1340
CODY WY 82414
307 587 -4761
MARY RECLA
DANIEL A RECLA
XXX -XX-
02 -02 -10
Collection Professionals, Inc., acting as agent for the clients listed below including
services rendered by the same clients, is hereby filing a lien against any real property
owned by MARY RECLA AND DANIEL A RECLA including but not limited to property owned at
PO BOX 11 LA BARGE, WY 83123.
Legal Description:
LA BARGE ORIGINAL TOWN, BLOCK 28, LOT 17 AND 18
Property may not be sold, traded, deeded, willed or in any way change ownership without
payment in full to be made directly to Collection Professionals, Inc. up to amounts
necessary to// retire the above indebtedness in full, including additional accruing interest.
Name:�l e f Account Executive for Collection Professionals, Inc.
P.O. BOX 1340, CODY WY 82414.
Signature :44414 Date: c2-2--
State of Wyoming
County of PARK
RECEIVED 2/22/2010 at 11:31 AM
RECEIVING 952263
BOOK: 742 PAGE: 794
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
0..=f '94
The foregoing instrument was acknowledged before me by
Account Executive for Collection Professionals, Inc., P.O. BOX 1340, CODY WY 82414.
LOIS L. TAYLOR
COUNTY OF
PARK
MY COMMISSION EXPIRES
This day of '7 20 /0
Clients included in this lien:
N o ary Public
No ary Public
CREDITOR /ACCOUNT NUMBER AMT /SVC DT INTEREST FEES TOTAL
ST JOHN'S HOSPITAL 141.50 0.00 101.20 242.70
10053159 01 -06 -99
ST JOHN'S HOSPITAL 44,875.75 6,152.28 0.00 51,028.03
30240025 -0001 12 -12 -08
ST JOHN'S HOSPITAL 67.00 9.18 0.00 76.18
30240025 -0002 12 -12 -08
Additional Judgment Charges /Interest 252.43
TOTAL 45,084.25 6,161.46 101.20 51,599.34