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Home My WebLink About955830STATE OF WYMONG SS. COUNTY OF LINCOLN STATEMENT OF LIEN RECEIVED 10/4/2010 at 11:03 AM RECEIVING 955830 BOOK: 754 PAGE: 863 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY WHEREAS, the Claimant, Call Ready Mix Lumber, Inc., of 786 N. Washington, (Mail: 88500 US HWY 89), Afton, County of Lincoln, Wyoming, 83110, has directed a Notice of Intention To File A Lien on the 7 day of September, 2010 to: Shane and Kelly Barnhart 375 Bluebird P.O. Box 1328 Thayne, WY 83127 advising said above named parties of its intent to file a materialman's lien against the buildings and improvements located on certain property situated, lying and being within Lincoln County, State of Wyoming and herein after being more particularly described, and further advising the said owners of the amount of the claim and that the claim was due from Hollis Concrete and Construction, Inc. for concrete supplied to the Barnhart's residence and that the claim to date remains due, payable, unsatisfied and in full force and effect, and therefore, Call Ready Mix Lumber, Inc., claimant herein, states as follows: 1) The name and address of the business seeking to enforce the lien is: Call Ready Mix Lumber, Inc. 786 N. Washington Mail: 88500 N. Hwy. 89 Afton, WY 83110 307 885 -2255 2) The amount claimed to be due and owing is the sum of $3748.23 3) The name and address of the persons against whose property the lien is filed is: Shane Kelly Barnhart 375 Bluebird P.O. 1328 Thayne, WY 83127 4) The lien claimant last delivered concrete to the Barnhart residence on July 8, 2010. 5) The amounts due and owing from Hollis Concrete and Construction, Inc. for the concrete provided to the Barnhart residence are set forth in the attached copies of the actual invoices and are made part here of by reference. v863 6) The legal description of the premises where the concrete was furnished is more particularly described as follows: I-', At PT W2 WE4S 34 1q R41/11-e- /(g 375 Bluebird g Thayne, Wyoming TOGETHER with all improvements and appurtenances thereon. DATED this 7) The concrete was supplied and furnished under a verbal contract with Call Ready Mix Lumber, Inc., and Ken Hollis of Hollis Concrete and Construction, Inc., wherein Ken Hollis agreed to pay for the concrete received that was placed at the Barnhart residence at the rate set forth on the attached invoices and statement of account. -K day of STATE OF WYOMING SS. COUNTY OF LINCOLN By: The foregoing Statement of Lien was sworn to and subscribed to before me by C? y representing Call Ready Mix Lumber, Inc., this WITNESS my hand and official seal. day of A Call Ready Mix Lumber, Inc. Ceuk BethAnn Call, Secretary c864 y Public MIXED CALL READY MIX LUMBER 88500 N. HWY. 89, AFTON, WYO. 83110 CONCRETE PH. 886 -3408 OR FAX 886 -9820 SOLD TO: KEN HOLLIS 3792 N. 475 E. NO_ OGDEN, UT 84414 CUSTOMER ID SALES REP ID QUANTITY ITEM CUSTOMER PO SHIPPING METHOD SHIP DATE UNIT PRICE SUBTOTAL SALES TAX FREIGHT TOTAL INVOICE AMOUNT PAYMENT RECEIVED TOTAL DUE DATE EXTENSION HOLLIS_KEN Net 20th of Next Month 109.00 7/20/10 10_0 LUMBER SHIP TO: KEN HOLLIS 3792 N. 475 E. NO. OGDEN, UT 84414 CHECK NO: :counts due and payable 10th of month following purchase. I 1/2% per month, which is 18% per annum, interest charged on past due xounts.lnconsideration of being given such creditnowor atanyothertime,inrheevent 1 fail to payand collection ismade bysuitorotherwise, rgree to pay all collection cos i l c hug be placed ed on my p ro per rit collection with or without suit, and the interest rote slated hereto. case of non-payment INVOICE INVOICE NUMBER: 93853 INVOICE DATE: 6/16/10 PAGE: 1 CC3SGS PAYM ENT TERMS 1,090.00 1,090.00 54.50 $1,144_5C 1,144.5t N O 0 z C) c z n m r c 03 m 33 n r r m O z co 0 0 cw CO 01 o► o 0 N C°" CO N m C z n 'ki A A vil N. a 4s V DESCRIPTION TOTAL TAX PRICE AMOUt Ce %A 0. N O 0 z C) c z n m r c 03 m 33 n r r m O z co 0 0 cw CO 01 o► o 0 N C°" CO N m C z n CALL READY MIX LUMBER 88500 N. HWY. 89, AFTON, WYO. 83110 CONCRETE PH. 886-3408 OR FAX 886 -9820 SOLD TO: KEN HOLLIS 3792 N.. 475 E.. NO OGDEN, UT 84414 HOLLIS _KEN 14_7 LUMBER CHECK NO: nts due and payable 10th of month following purchase. 1 1/2% per month, which is 18% per annum, interest charged on post doe nts. In consideration ofbemggiven such creditnoworatonyothertime in the event) foilto pay ondrnHedion ismodebysuitorotherwise, r to pay all collection costs, inducting a reasonable afomey's fee for its collection with or without suit, and the interest rate stated hereto. of non-payment I understand a lien con be placed on my property. INVOICE SHIP TO: KEN HOLLIS 3792 N. 475 E NO_ OGDEN, UT 8 4414 INVOICE NUMBE 93854 INVOICE DAT. 6/22/10 PAGI CUSTOMER ID SALES REP ID QUANTITY ITEM CUSTOMER PO SHIPPING METHOD DESCRIPTION BACKORDER SHIP DATE PAYMENT TERMS UNIT PRICE DUE DATE EXTENSION 5 6_OBAG BLUE BIRD WALL Delivered 6 Bag Concrete yard THANKS KEN 109_00 7/20/10 TOTAL SUBTOTAL SALES TAX FREIGHT TOTAL INVOICE AMOUNT PAYMENT RECEIVED Net 20th of Next Month 1,607_75 1,607_75 80.39 $1, 688.14 X1, 688_14 CONCRETE Customer's Order No. Name Address City QUAN. CALL HEADY MIX LUMBER, Ifvu. 786 N. WASHINGTON, t MAIL: 88500 N. HWY.89 $t." r pia 6, .f'r•r AFTON, WYO. 83110 1 PH: (307) 885 -CALL (2255) e= FAX: (307) 885 -0650 THANK YOU Please keep this copy for reference Ret'd By Date 7". State LUMBER CC0S68 Zip 20 .1') tf Z;) DESCRIPTION 41 .gay /0? 5 PRICE TAX TOTAL AMOU 872 �rS Accounts due and payoble 10th of month following purchase. 1 1 /2% per month, which is 1 8% per annrm, in erect chorged on past due accounts. In consideration of being given such credit now or of any other time, in the event I fail to poy and collection is made by suitor otherwise, I agree to pay all collection costs, including a reasonable attorney's fee for its collection with or without suit and the interest rate stated hereto, In case of nonpayment I understand a lien con be placed on my property. NT CNVI 2� MIAGv CALL READY MIX LUMBER Atom 88500 N. HWY. 89, AFfON, WYO. 83110 CONCRETE PH. 886 -3408 OR FA;: 88643820 SOLD TO: KEN HOLLIS 3792 N. 475 E. NO. OGDEN, UT 84414 CUSTOMER ID SALES REP ID QUANTITY ITEM BACKORDER SNIP DATE PAYMENT TERMS UNIT PRICE DUE DATE EXTENSION CUSTOMER PO BLUE BIRD SHIPPING METHOD Delivered DESCRIPTION SUBTOTAL SALES TAX FREIGHT TOTAL INVOICE AMOUNT PAYMENT RECEIVED 8/20/10 TOTAL HOLLIS_KEN 6_0BAG LUMBER 6 Bag Concrete yard CHECK NO: unts due and payable 10th of month rolbwing purchase. 1 1/2% per month, which is 18% per annum, interest chorged on past due rms. in considers ion ofbeing given such ueditnoworotanyothertime ,in the event I tail topayandcolledionis made bysuitorothervvrse, seta pay all collection costs, including o reasonable a s f ee foritscollectionwithorwithoutsuit ,anddreinterestrotes w of nonpayment I understand a lien can be placed on my property. INVOICE 000869 SHIP TO: KEN HOLLIS 3792 N. 475 E. NO_ OGDEN, UT 84414 Net 20th of Next Month 109.00 INVOICE NUMBER: 94353 INVOICE DATE: 7/8/ 10 PAGE: 1 872.00 872.00 43..60 915.60 $915.60