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MEDICAL .SERVICES PROVIDER L_L
COLLECTION PROFESSIONALS, INC
P.O. BOX 1340
CODY WY 82414
307 587 -4761
KATHLEEN A DEPIERO
JAMES DEPIERO
10 -11 -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 KATHLEEN A DEPIERO AND JAMES DEPIERO including but not limited to property owned at
869 CTY RD 137, N AFTON, WY 83110, POB 1257,.
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: -c�� J4ei/ k Account Executive for Collection Professionals, Inc.
P.O. BOX 1340, CODY WY 82414.
41 Jt Date: /b /4/ 7"
Signature:
Legal Description:
TWN 32, RNG 119, SECT 24, SW1 /4SW1 /4 PT .28 ACRES
Z
State of Wyoming
1
County of PARK
000872
RECEIVED 10/25/2010 at 12:58 PM
RECEIVING 956271
BOOK: 755 PAGE: 872
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
The foregoing instrument was acknowledged before me by
Account Executive for Collection Professionals, Inc., P.O. BOX 1340, CODY WY 82414.
This day of C -w` 20
TOTAL
LOIS L. TAYLOR NO APY P'�IBLIC Q l DA_ t COMM' OF m STIR OF Notary Public l
PARK 'v`��r ZVYU INC
WY -MSPL 1331175
CREDITOR /ACCOUNT NUMBER AMT /SVC DT INTEREST FEES TOTAL
ST JOHN'S MED CTR ER PHYSICIAN 613.00 201.53 0.00 814.53
0022671931 01 -15 -08
613.00 201.53
0.00 814.53