HomeMy WebLinkAbout889315STATE OF WYOMING )
COUNTY OF LINCOLN ) SS
)
STAR VALLEY MEDICAL CENTER
Plai"lj~;OK~:~'l_ _~ PR PAGE
vs
BoOK / PR PAGE
ROBERT LAKE
Defendant.
IN THE CIRL'UIT COURT OF
LINCOLN COUNTY RECEIVED
LINCOLN COUNTY
89315
0LERK
03!~P~t8 3.?i 9:l0
,117 ", ~'.
'";:"/' i:!2.";':. '" ':.~ ,
Docket No SC-0301-0016
SMALL CLAIMS JUDGMENT
The above matter came before the Com-t for trial on the / 'd~ayof ~
Evidence was introduced and considered,
L:L EI~I; OF GiRCUIT COUF. f
~'d JIJDICI&L DISTRICT
P LAIN~,E.~):~ ~-'
'---"Appeared In Person.
Did not appear.
DEFENDANT(S):
~_~ppeared In Person.
id Not Appear.
Based Upon the evidence presented the Court finds in accordance with the Judgment stated below:
IT IS HEREBY ORDERED, CONSIDERED, ADJUDGED AND DECREED as follows:
~ff~PPlaintiff has Judgment against the Defendant as follows:
In the principal alnount of ............................... $
Prejudgment interest of ..................................
Attorney's fees ........................................... ,....$__
Costs ................................ ................................ $
Other ................................................................ $ .
Total .................. ..... : ...................... ...................
Defendant has judgment against the Plaintiff as follows:
In the principal amount of ................................. $
Prejudgment interest of ..................................... $
Attorney's fees .................................................. $
Costs .................................................................. $
Other .................................................. ................ $
Total ..................................................... $ .
IT IS FURTHER ORDE~D, CONSIDE~D ADJUDGED AND DEC~ED that th: Plaintiff shall have
interest at th~ rate of 10% per annum from and after the date of Judgment, and is entitled to accruing costs of
execution and gamishme~
TO THE JUDGMENT DEBTOR
NOTICE OF RIGHT TO CLAIM EXEMPTIONS AND TO HEARING
......... J 8
You are'informed that since a judgment has been entered against you, the JUDGMENT
CREDITOR may proceed to seize your property, funds or wages by Execution or Garnishment.
You may be entitled to have the property, funds or wages seized returned to you as exempt fi-om
Execution or Garnishment. The following are possible claimed exemptions to which you may be
entitled:
1. Social security benefits pursuant to 42 U.S.C. 407 and supplemental security income;
2. Veteran's benefits;
3. Black lung benefits;
4. Aid tO families With dependant children and general assistance payments;
5. Federal civil service and state retirement system benefits as provided in 5 'U. S.C
8346 ami W.S. Section 9-3-426 and 9-3~620;
6. Worker's compensation benefits;
7. Unemployment compensation benefits;-
8. A'portion of wages as provided in W.S. SectiOn 1-15-408, or in the case of consumer
credit sale, leases or loans, as provided by W.S. Section 40-14-505;
9. Homestead, personal articles and articles used for carrying on a trade or business to
the extent provided by W.S. Section 1-20-101 through Section 1-20-109;
10. Other exemptions as provided bylaw.
IF PROPERTY, FUNDS, OR WAGES ARE EXECUTED ON OR GARNISHED,
THEN AND ONLY THEN, MAY YOU assert your right to any of the foregoing exemptions
and, to do so, you must file a written request for a hearing with the Clerk of this Court within ten
(10) days, not counting Saturdays, Sundays, or legal holidays, after seizure of your property,
funds, or wages. If you fail to make a written request for a hearing and claim one (1) or more of
the foregoing exemptions within ten (10) days after seizure of your property you may waive or
lose your right to claim the exemptions. IF NO PROPERTY IS SEIZED OR GARNISHED,
YOU HAVE NO RIGHT TO A HEARING!
Exemption hearing request forms may be obtained at the Lincoln County Court, Afton, ~
Wyoming.
Center
110 Hoxpital Lane · P.O. Box 579 · Afion, Wyo. 83110
Phone: 307-885-5800 · Fax: 307-885-5282
Star Valley Medical Center
PO Box 579
A fton. WY 2;3110
Plaintiff
\/S.
Docket N o.
SC-0301-00] 6
F~obert Lake
PO Box 796
Alton, WY
83110
Defendant
Agreement rnade this ./_/ day of.~:l,r,,;,'y, 2003 by and between the parties signed
below:
Robert Lake agrees that the amount of $494.51 plus court costs and service fees in the
amount of $30.00 for a total of $524.51 is a just amount. Defendant Lake agrees to pay $50 per
month with the first installment due to the Court on or before February 28. 2003 and each month
thereafter until principal and interest at the rate of 10% per annum, as provided by law, is paid in
full.
Plaintiff
)-
Star Valleig t edical Center
Robert Lake