HomeMy WebLinkAbout955126MEDICAL SERVICES PROVIDER LIEN
COLLECTION PROFESSIONALS, INC
P.O. BOX 1340
CODY WY 82414
307 587 -4761
CHRISTINE PUTNAM
08 -12 -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 CHRISTINE PUTNAM including but not limited to property owned at
405 COUNTY RD 107, AFTON, WY 83110.
Legal Description:
HIALEAH SUBDIVISION, LOT 23
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. f�
Name:, �e6- /C [te ,'6�ar Account Executive for Collection Professionals, Inc.
P.O. BOX 1340, CODY WY 82414.
Signature :,Lk<(- Date g/E4 A
State of Wyoming
County of PARK
The foregoing instrument was acknowledged before me by
Account Executive for Collection Professionals, Inc., P.O. BOX 1340, CODY WY 82414.
This day of
PARK
Clie tnclq4 tiiril
TOTAL
LOG L. TA YLp NOTARY Pr........,.�,...:.,:.
U4 UC
COUNTY OF STATE OF
CREDITOR /ACCOUNT NUMBER
STAR VALLEY CHIROPRACTIC
266 -1
WY -MSPL 1454105
20/D
AMT /SVC DT INTEREST
230.48 8.49
01 -04 -08
230.48 8.49
RECEIVED 8/26/2010 at 10:45 AM
RECEIVING 955126
BOOK: 752 PAGE: 571
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
r K. S7
Notary Public
FEES TOTAL
0.00 238.97
0.00 238.97