HomeMy WebLinkAbout974847STATE OF WYOMING
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COUNTY OF TETON
LIEN STATEMENT
RECEIVED 1/6/2014 a
RECEIVING 974847
BOOK: 826 PAGE: 402
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Pursuant to the provisions of W.S. §29 -1 -312 relating to lien statements and the North Star
Utility Rules and Regulations, Section 8. B. (for water) and Section 10. B. (for sewer), North Star
Utility Inc., the undersigned hereby files this Lien Statement and swears as follows:
1. The naive and address of the lien claimant:
North Star Utility Inc.
P.O. Box 610
Jackson, Wyoming 83001
2. The amount claimed to be due and owing:
$810.88 as of December 31, 2013, together with additional monthly fees of $48.00 plus
interest on the entire balance owed at 18% per annum, costs of $97.78 incurred to date,
plus all attorney's fees and costs of collection.
3. The names and address of the persons against whose property the lien is filed:
Bruce D. Gray Tania A. Modic
774 Mays Blvd. #10
Incline Village, NV 89451
4. An itemized list setting forth and describing the services or materials delivered or
performed:
Water and sanitary service from January 30, 2008 through December 31, 2013 as shown
in the statement attached hereto as Exhibit A.
5. The names of the persons against whom the lien claimant asserts are obligated to pay the
debt secured by the lien:
Bruce D. Gray Tania A. Modic
6. The lien claimant is continuing to perform work or furnish materials in the form of access
to water and sewer as of the date of this lien.
0402
0403
7. The legal description of the real property where the service or materials have been
provided:
Lot #108 Alpine Meadows Subdivision, Lincoln County, Wyoming
8. A true and accurate copy of the written contract or rules that provide for a dry meter charge
and base services whether or not any water is provided as set forth in the North Star Utility
Sanitary Sewer Services Rules and Regulations and the North Star Utility Rules and
Regulations for Water. A copy of the written rules and regulations are available at the
Wyoming Public Service Commission and North Star Utility Inc.
Dated: January 3, 2014
Witness my hand and official seal.
By:
Title:
NORTH STAR UTILITY INC.
That on this 3rd day of January, 2014, subscribed and sworn to before me personally
appeared Michael T. Halpin, to me personally known, who has read the foregoing Lien Statement
and knows the contents thereof and the facts are true to the best of his knowledge, and being by
me duly sworn, did state he is the President of North Star Utility Inc. and this Lien Statement was
signed and sealed on behalf of the Lien Claimant by authority granted to the signatory by the Lien
Claimant.
M• P tdC
.Notary Public
JVly Commission Expires: (2.2
'a.
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 1
Statement
0404
Date
12/31/2013
Account
Lot #108 Alpine Meadows Subdivision
Amount Due
Amount Enc.
$810.88
Date
Transaction
Amount
Balance
01/30/2008
Balance forward
0.00
01/31/2008
INV #108. Due 03/01/2008.
45.00
45.00
02/29/2008
INV #335. Due 03/30/2008.
45.00
90.00
03/31/2008
INV #598. Due 04/30/2008.
45.00
135.00
04/03/2008
PMT #5337.
-90.00
45.00
04/30/2008
INV #801. Due 05/30/2008.
45.00
90.00
05/31/2008
1NV #1005. Due 06/30/2008.
45.00
135.00
05/31/2008
INV #FC 30. Due 05/31/2008. VOID: Finance Charge
0.00
135.00
06/17/2008
PMT #5381.
135.00
0.00
06/30/2008
INV #1213. Due 07/30/2008.
45.00
45.00
07/28/2008
PMT #5080549.
-45.00
0.00
07/31/2008
INV #1429. Due 08/30/2008.
45.00
45.00
08/25/2008
PMT #5418.
-45.00
0.00
08/31/2008
INV #1644. Due 09/30/2008.
45.00
45.00
09/24/2008
PMT #0018131331.
-45.00
0.00
09/30/2008
INV #1857. Due 10/30/2008.
45.00
45.00
10/29/2008
PMT #5449.
-45.00
0.00
10/31/2008
INV #1853. Due 11/30/2008.
45.00
45.00
11/26/2008
PMT #5465.
-45.00
0.00
11/30/2008
INV #2060. Due 12/30/2008.
45.00
45.00
12/30/2008
PMT #5481.
-45.00
0.00
12/31/2008
INV #2283. Due 01/30/2009.
45.00
45.00
01/31/2009
PMT #5501.
-45.00
0.00
01/31/2009
INV #2517. Due 03/02/2009.
45.00
45.00
02/27/2009
PMT #5516.
-45.00
0.00
02/28/2009
INV #2724. Due 03/30/2009.
45.00
45.00
03/31/2009
PMT #75722761.
-45.00
0.00
03/31/2009
INV #2946. Due 04/30/2009. EXHIBIT
45.00
45.00
04/30/2009
PMT #5547.
-45.00
0.00
04/30/2009
INV #3180. Due 05/30/2009.
45.00
45.00
05/31/2009
PMT #5564. 9
A
-45.00
0.00
05/31/2009
INV #3384. Due 06/30/2009.
45.00
45.00
06/12/2009
PMT #5573.
0.00
-45.00
06/30/2009
INV #3601. Due 07/30/2009.
45.00
45.00
CURRENT
1 -30 DAYS PAST
DUE
31 -60 DAYS PAST
DUE
61 -90 DAYS PAST
DUE
OVER 90 DAYS
PAST DUE
Amount Due
57.84
48.00
56.83
56.38
591.83
$810.88
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 1
Statement
0404
Date
12/31/2013
Account
Lot #108 Alpine Meadows Subdivision
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Statement 4
05
Date
12/31/2013
Account
Lot #108 Alpine Meadows Subdivision
Page 2
Amount Due
Amount Enc.
$810.88
Date
Transaction
Amount
Balance
07/17/2009
PMT #5592.
-45.00
0.00
07/31/2009
INV #3825. Due 08/30/2009.
45.00
45.00
08/26/2009
PMT #5609.
-45.00
0.00
08/31/2009
INV #4046. Due 09/30/2009.
45.00
45.00
09/14/2009
PMT #5621.
-45.00
0.00
09/30/2009
INV #4266. Due 10/30/2009.
45.00
45.00
10/26/2009
PMT #5639.
-45.00
0.00
10/31/2009
INV #4488. Due 11/30/2009.
45.00
45.00
11/23/2009
PMT #5650.
-45.00
0.00
11/30/2009
INV #4709. Due 12/30/2009.
45.00
45.00
12/21/2009
PMT #5667.
-45.00
0.00
12/31/2009
INV #4929. Due 01/30/2010.
45.00
45.00
01/25/2010
PMT #5685.
-45.00
0.00
01/31/2010
INV #5150. Due 03/02/2010.
45.00
45.00
02/22/2010
PMT #5698.
-45.00
0.00
02/28/2010
INV #5370. Due 03/30/2010.
45.00
45.00
03/22/2010
PMT #5712.
-45.00
0.00
03/31/2010
INV #5592. Due 04/30/2010.
45.00
45.00
04/19/2010
PMT #5728.
-45.00
0.00
04/30/2010
INV #5812. Due 05/30/2010.
45.00
45.00
05/18/2010
PMT #5744.
-45.00
0.00
05/31/2010
INV #6045. Due 06/30/2010.
45.00
45.00
06/21/2010
PMT #5761.
-45.00
0.00
06/30/2010
INV #6301. Due 07/30/2010.
45.00
45.00
07/19/2010
PMT #5778.
-45.00
0.00
07/31/2010
INV #6561. Due 08/30/2010.
45.00
45.00
08/16/2010
PMT #5794.
-45.00
0.00
08/31/2010
INV #6798. Due 09/30/2010.
45.00
45.00
09/27/2010
PMT #5817.
-45.00
0.00
09/30/2010
INV #7036. Due 10/30/2010.
45.00
45.00
10/25/2010
PMT #5832.
-45.00
0.00
10/31/2010
INV #7273. Due 11/30/2010.
45.00
45.00
11/24/2010
PMT #5848.
-45.00
0.00
11/30/2010
INV #7516. Due 12/30/2010.
45.00
45.00
CURRENT
1 -30 DAYS PAST
DUE
31 -60 DAYS PAST
DUE
61 -90 DAYS PAST
DUE
OVER 90 DAYS
PAST DUE
Amount Due
57.84
48.00
56.83
56.38
591.83
$810.88
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Statement 4
05
Date
12/31/2013
Account
Lot #108 Alpine Meadows Subdivision
Page 2
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 3
Stater.ieri
Date
12/31/2013
0406
Account
Lot #108 Alpine Meadows Subdivision
Amount Due
Amount Enc.
$810.88
Date
Transaction
Amount
Balance
12/31/2010
INV #7752. Due 01/30/2011.
45.00
90.00
01/17/2011
PMT #5876.
-45.00
45.00
01/31/2011
INV #7991. Due 03/02/2011.
45.00
90.00
02/17/2011
PMT #5892.
-45.00
45.00
02/28/2011
INV #8229. Due 03/30/2011.
45.00
90.00
03/30/2011
PMT #5913.
-90.00
0.00
03/31/2011
INV #8471. Due 04/30/2011.
45.00
45.00
04/18/2011
PMT #5926.
-45.00
0.00
04/29/2011
INV #8773. Due 05/29/2011.
45.00
45.00
05/23/2011
PMT #5948.
-45.00
0.00
05/31/2011
INV #8946. Due 06/30/2011.
45.00
45.00
06/27/2011
PMT #5967.
-45.00
0.00
06/30/2011
INV #9184. Due 07/30/2011.
45.00
45.00
07/20/2011
PMT #5981.
-45.00
0.00
07/31/2011
INV #9425. Due 08/30/2011.
45.00
45.00
08/25/2011
PMT #5998.
-45.00
0.00
08/31/2011
INV #9664. Due 09/30/2011.
45.00
45.00
09/29/2011
PMT #6025.
-45.00
0.00
09/30/2011
INV #9909. Due 10/30/2011.
45.00
45.00
10/26/2011
PMT #6041.
-45.00
0.00
10/31/2011
INV #10146. Due 11/30/2011.
45.00
45.00
11/10/2011
PMT #6055.
-45.00
0.00
11/30/2011
INV #10383. Due 12/30/2011.
45.00
45.00
12/13/2011
PMT #6077.
-45.00
0.00
12/30/2011
INV #10619. Due 01/31/2012.
45.00
45.00
01/25/2012
PMT #6100.
-45.00
0.00
01/31/2012
INV #10855. Due 03/01/2012.
45.00
45.00
02/14/2012
PMT #6113.
-45.00
0.00
02/29/2012
INV #11092. Due 03/30/2012.
45.00
45.00
03/12/2012
PMT #6134.
-45.00
0.00
03/31/2012
INV #11328. Due 04/30/2012.
45.00
45.00
04/18/2012
PMT #6148.
-45.00
0.00
04/30/2012
INV #11564. Due 05/30/2012
45.00
45.00
05/30/2012
INV #11801. Due 06/29/2012.
45.00
90.00
CURRENT
1 -30 DAYS PAST
DUE
31 -60 DAYS PAST
DUE
61 -90 DAYS PAST
DUE
OVER 90 DAYS
PAST DUE
Amount Due
57.84
48.00
56.83
56.38
591.83
$810.88
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 3
Stater.ieri
Date
12/31/2013
0406
Account
Lot #108 Alpine Meadows Subdivision
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 4
Statement 0407
Date
12/31/2013
Account
Lot #108 Alpine Meadows Subdivision
Amount Due
Amount Enc.
$810.88
Date
Transaction
Amount
Balance
06/11/2012
PMT #6175.
-45.00
45.00
06/27/2012
PMT #6189.
-45.00
0.00
06/30/2012
INV #12037. Due 07/31/2012.
45.00
45.00
07/31/2012
INV #12275. Due 08/30/2012.
45.00
90.00
08/21/2012
PMT #6226.
-45.00
45.00
08/31/2012
INV #12517. Due 09/30/2012.
45.00
90.00
09/24/2012
PMT #6250.
-45.00
45.00
09/30/2012
INV #12754. Due 10/30/2012.
45.00
90.00
10/11/2012
PMT #6262.
-45.00
45.00
10/31/2012
INV #FC 1735. Due 10/31/2012. Finance Charge
0.02
45.02
10/31/2012
INV #12996. Due 11/30/2012.
45.00
90.02
11/30/2012
INV #FC 1794. Due 12/03/2012. Finance Charge
0.80
90.82
11/30/2012
INV #13236. Due 12/31/2012.
45.00
135.82
12/31/2012
INV #FC 1851. Due 12/31/2012. Finance Charge
1.38
137.20
12/31/2012
INV #13474. Due 01/30/2013.
45.00
182.20
01/31/2013
INV #FC 1877. Due 03/02/2013. Finance Charge
2.09
184.29
01/31/2013
INV #13711. Due 03/02/2013.
45.00
229.29
02/28/2013
INV #FC 1903. Due 03/30/2013. Finance Charge
2.88
232.17
02/28/2013
INV #13947. Due 03/30/2013.
45.00
277.17
03/31/2013
INV #FC 1937. Due 03/31/2013. Finance Charge
3.02
280.19
03/31/2013
INV #14183. Due 04/30/2013.
45.00
325.19
04/30/2013
INV #FC 1996. Due 04/30/2013. Finance Charge
4.02
329.21
04/30/2013
INV #14419. Due 05/30/2013.
45.00
374.21
05/31/2013
INV #FC 2026. Due 05/31/2013. Finance Charge
4.85
379.06
05/31/2013
INV #14658. Due 06/30/2013.
45.00
424.06
06/30/2013
INV #FC 2060. Due 07/01/2013. Finance Charge
5.54
429.60
06/30/2013
INV #14899. Due 07/30/2013.
45.00
474.60
07/31/2013
INV #FC 2120. Due 07/31/2013. Finance Charge
6.23
480.83
07/31/2013
INV #15149. Due 08/30/2013.
48.00
528.83
08/31/2013
INV #FC 2164. Due 09/03/2013. Finance Charge
7.59
536.42
08/31/2013
INV #15393. Due 09/30/2013.
48.00
584.42
09/30/2013
INV #FC 2233. Due 09/30/2013. Finance Charge
7.41
591.83
09/30/2013
INV #15632. Due 10/30/2013.
48.00
639.83
10/31/2013
INV #FC 2266. Due 10/31/2013. Finance Charge
8.38
648.21
CURRENT
1 30 DAYS PAST
DUE
31 -60 DAYS PAST
DUE
61 -90 DAYS PAST
DUE
OVER 90 DAYS
PAST DUE
Amount Due
57.84
48.00
56.83
56.38
591.83
$810.88
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 4
Statement 0407
Date
12/31/2013
Account
Lot #108 Alpine Meadows Subdivision
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 5
Statemen
Date
12/31/2013
0
8
Account
Lot #108 Alpine Meadows Subdivision
Amount Due
Amount Enc.
$810.88
Date
Transaction
Amount
Balance
10/31/2013
11/30/2013
11/30/2013
12/31/2013
12/31/2013
INV #15880. Due 11/30/2013.
INV #FC 2301. Due 11/30/2013. Finance Charge
INV #16122. Due 12/30/2013.
INV #FC 2315. Due 12/31/2013. Finance Charge
INV #16359. Due 01/30/2014.
48.00
8.83
48.00
9.84
48.00
696.21
705.04
753.04
762.88
810.88
CURRENT
1 30 DAYS PAST
DUE
31 -60 DAYS PAST
DUE
61 -90 DAYS PAST
DUE
OVER 90 DAYS
PAST DUE
Amount Due
57.84
48.00
56.83
56.38
591.83
$810.88
North Star Utility Inc.
P.O. Box 610
Jackson, WY 83001
To:
Bruce D. Gray Tania A. Modic
774 Mays Blvd, #10
Incline Village, NV 89451
Page 5
Statemen
Date
12/31/2013
0
8
Account
Lot #108 Alpine Meadows Subdivision