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HomeMy WebLinkAbout877228 LIEN FILING W.S.A. {}: Zq - P,,-' / O 7 1. My name is Cordon R. Nelson, a/k/a Nelson Water Well Drilling. 2. Larry Jensen owes me $2,150.00 3. The name and address of the person against whose property this Lien is being filed is: SW¼, Section 6, Township 32 North, Range 118 West of the 6th P.M., Lincoln County, Wyoming. 4. An itemized list of the Materials delivered and work performed is attached as Exhibit 1. 5. The name of the person against whom this Lien is made is: Larry Jensen. 6. Labor and service and materials were last furnished on the September 30, 2001. 7. The legal description of the property where the materials were furnished or upon which the work was performed is as follows: SW¼, Section 6, Township 32 North, Range 118 West of the 6th P.M., Lincoln County, Wyoming. DATED this ~q~ day of October, 2001. Nelson Water Well Drilling & ] Larry densen Lien Filing 652 STATE OF WYOMING ) ) SS. COUNTY OF LINCOLN ) The foregoing Lien Filing was acknowledged before me this day of October, 2001, by Cordon R. Nelson, a/k/a Nelson Water Well Drilling. WITNESS my hand and official seal. Notary PtSi~lic My Commission Expires: Nelson Water WelI Drilling & Laro, densen 2 Lien Piling NELSON WATER WELL DRILLING (} ~.~'~"~:'~ ;r~ 580 Highway 239 Freedom, Wyoming 83120 Phone 883-2~1 AD~S ~TAT~ lhank ¥~u! we ~re~late V(~r I~ine~ SUB ALL CLAIMS AND R~RNED G~DS MUST BE ACCOMPANIED BY THIS BILL N~ REC'D ~Y