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MISCELLANEOUS 3 Fleas ).pr Plint with Stack ink 1.
1;)ermitNo. U.W. Ail Zterns Must be Cerinpielltii
ASSIGNMENT REQ /ASSIGN EN T
ASSIGNMENT OF PERMIT FOR WELLS
STATE OF WYOMING
County of 66
1 (We) Dean B. Jenkins and Elaine D. Jenkiw o f the City of
Freedom Coady of i ncoln State of WY
being the owner(s) (if not The sate owner, stag interest in p t) of the
Well under Permit No. U.W. l L[ as
recorded ixt Book No, of Wells on Page No. in the office of the
Stag hngineer of the State of Wyoming, for and in consideration of the suan of one
dollar ($1.00) and other valuable considerations, the receipt of which is hereby
akawwledged, do by these presents hereby transfer and assign all my (our) right, title
and interest of whatsoever nature in and to said permit and all works pertaining thereto
to (assignee), of the City of
County of State of
his (their) heirs, successors or assigns forever.
*Tanna Lynn Jenkins
Name
,Assignee's name /address (new owner):
Jeremy Allen Jenkins and Tanna Lynn Jenkins
6aa. Gew,kr
Address
L42y4. fir~' 8`� 324
City, State Zip Code
STATE OP
County o>F
We19;90 O1OZ 6i Ani
E0e /te0s Wg88 :80 010Z 61 isIVI
S
I1Uy IU LUIU LJ•4J
O� x546
RECEIVED 5/21/2010 at 4:28 PM
RECEIVING 953580
BOOK: 747 PAGE: 546
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
On this day of -27 1 44 -9. /l.. before me pexaor Uy
appeared to Jne known to be the person(s)
described in and who executed the foregoing instrati.A and acknowledged that he
(she or they) executed the same as his (her or their) free act or deed.
My corn nissiion expires: 3
NOTARY PUI3LIC
:pnnlnntia
I UUI /UUI
um air es or sw atrrr• nar lass 1
P AMELA A LLEN
1
State of Utah
Commission +r$e1777
My Commission Expires
March 1, 2014