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PO Box 1367
Kemmerer WY 83101
File No.: ATEC- 153395
RECEIVED 9/28/2012 at 12:11 PM
RECEIVING 967115
BOOK: 795 PAGE: 90
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
QUITCLAIM DEED
Douglas K. Brown
grantor(s) of Simi Valley, State of California, for and in consideration of Ten Dollars and Other Good and
Valuable Consideration $10.00 in hand paid, receipt whereof is hereby acknowledged, hereby Convey(s)
and Quitclaim(s) To
Douglas K. Brown and Leonard J. Scroggins
grantee(s), whose address is: 2745 Simi Hills Land, Simi Valley, CA 93063 all interest in the following
described real property, situate in Lincoln County and State of Wyoming, to wit:
Lot 69 of Fertile Acres Subdivision Third Filing, Lincoln County, Wyoming as described on the official
plat filed on May 17, 2005 as Instrument No. 908484 of the records of the Lincoln County Clerk.
Hereby releasing and waiving all rights under and by virtue of the homestead exemption laws of the State of
Wyoming.
Wi my /our hand(s) this 2 da of September, 2012.
Douglas rown
State of
County of
Witness my hand and official seal.
My commission expires:
c a- c_taed Ncr�a Vi
ss.
The foregoing instrument was acknowledged before me this day of September, 2012, by Douglas K.
Brown
Notary Public
State of California
County of VENTURA
WITNESS my hand and official seal.
ACKNOWLEDGMENT
On SEPTEMBER 24, 2012 before me, ELISIA NAVARRO, NOTARY PUBLIC
(insert name and title of the officer)
Signatuje�—= (Seal)
r oma,' ELISIA NAVARRO
00091
personally appeared DOUGLAS K. BROWN
who proved to me on the basis of satisfactory evidence to be the p sonN,whose name is/ re
subscribed to the within instrument and acknowl d ed to me th he/ he /they executed th me in
his jer /their authorized capacity, iB and that his/ er /their signature on the instrument the
persons.)„ or the entity upon behalf of which the person`() acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
Commission 1
Notary Public California
Ventura County
My Comm. Expires Sep 28, 2013
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