HomeMy WebLinkAbout953601MEDICAL SERVICES PROVIDER LIEN
COLLECTION PROFESSIONALS, INC
P.O. BOX 1340
CODY WY 82414
307 587 -4761
ROBERT PENNY
BELINDA PENNY
05 -18 -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 ROBERT PENNY including but not limited to property owned at
531 FOREST CIRCLE DR, ALPINE, WY 83128.
TOTAL
Legal Description:
FOREST MEADOW SUBDIVISION, LOT 26
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 indebtedness listed below in full, including additional accruing
interest.
Name: �1- 2tnC.6� 1� 4eI,^6JI Account Executive for Collection Professionals, Inc.
P.O. BOX 1340, CODY WY 82414. J
Signature: Z `aA` VL Date: S /,Y
State of Wyoming
County of PARK l
The foregoing instrument was acknowledged before me by 4
Account Executive for Collection Professionals, Inc., P.O. BOX 1340, CODY WY 82414.
This day of
LOIS L TAYLOR
COUNTY OF
PARK
MY COMMISSION EXPIRES
NOTARY PUBLIC
STATE OF
WYOMING
Clients included in this lien:
WY -MSPL 951883
O
CREDITOR /ACCOUNT NUMBER AMT /SVC DT INTEREST
ST JOHN'S HOSPITAL 1,233.43 0.00
20159372 01 -26 -04
ST JOHN'S HOSPITAL 1,910.64 0.00
30006484 -0001 05 -28 -04
Additional Judgment Charges /Interest
3,144.07
0.00 0.00
RECEIVED 5/24/2010 at 11:11 AM
RECEIVING 953601
BOOK: 747 PAGE: 622
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Notary Publc
FEES TOTAL
0.00 1,233.43
0.00 1,910.64
1,156.13
4,300.20
006622