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889320
STATE OF WYOMING COUNTY OF LINCOLN ) ) SS ) STAR VALLEY MEDICAl, CENTER, Plaintiff; 8 BooK. ~'1 ~ PR PA, vs BOOK ] PR PAGE MICHAEL W. LONG, Defendant. IN THE CIRCUIT COURT OF LINCOLN COUNTY RECEIVED LINCOLN COUNTY 0LERK 108 Docket No SC-0302-0014 SMALL CLAIMS JUDGMENT The above matter came before the Court for trial on the ~ day of Evidence was introduced and considered. b~_Erd;. OF CIRCUIT COURf ?_':"d JUDICIA~ DISTRICT P'LAINTIF~F(S): ---J'F~Appeared In Person. Did not appear. D EEENDANT(S): ~ Appeared In Person. ~. Appear. Not Based upon tile evidence presented tile Court finds in accordance with tile Judgment stated beloxv: 1T 1S HEREBY ORDERED, CONSIDERED, ADJUDGED AND DECREED as follows: ~wT?~Plaintiff has Judgment against the Defendant as follows: In the principal amount of ............................... $ /~ ~ [. ~ho~ Prejudgment interest of .2 ............................... $ Attorney's lees ................................................ $ Costs ................................................................ $ ~O. ~ ©ther. ............................................................... $ Tota~ ................................................................. */ 5' ~. -~ > Defendant has judgment against the Plaintiff as follows: In the principal amount of ................................. $ Prejudgment interest of .................................... $ Attorney's fees .................................................. $ Costs .................................................................. $ Other .................................................................. $ · Total ................................................................... $~. IT lS FURTHER ORDERED, CO~ERED ~~ AND DEdE~D~the Plaintiff shall have interest at the rate of 10% per annum 'fron~ and after the date of Judgment, and is entitled to accru ing costs of execution and garnishment THE STATE OF ~OMING) ~ ~t~(;°~ '"'"""' )ss '.:" ..... ?"%"'" BY ~: . . . TO THE JUDGMENT DEBTOR 109 NOTICE OF RIGttT TO CLAIM EXEMPTIONS AND TO HEARING You are informed that since a judgment has been entered against you, the JUDGMENT CRED1TOR may proceed to seize your property, funds or wages by Execution or Garnishment. You may be entitled to have the property, fimds or wages seized returned to you as exempt froln 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 ltu~g benefits; 4. Aid to families with dependant children and general assistance payments; 5. Federal civil service and state retirelnent system benefits as provided in 5 U.S.C. 8346 and W.S. Section 9-3-426 and 9-3-620; 6. Worker's cOmpensation benefits; 7. Ul~employment compensation benefits; 8. A portion of wages as provided in W.S. Section 1-15-408, or in the case of cousumer 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 througl~ Section 1-20-109; 0. Other exemptions as provided by law. 'IF PROPERTY, FUNDS, OR WAGES ARE EXECUTED ON OR GARNISHED, THEN AND ONLY THEN, MAY YOU assert your right to any of the Ibregoing exelnptions and, to cio so, you mnst file a xvritten 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 1hake 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 reqnest forms may be obtained at the Lincoln County Court, Alton, Wyoming.