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HomeMy WebLinkAbout892774~oo~ 5;3~vRp^cE 2. 3. being RECEIVED ~L 6 6 L~EN FII.ING 'LINCOLN COU~TY CLERK W.S.A. 2~-2-~t~1'/h 03 ~Uf125 PH 3:13 , ~ ~ ~ -- My name is Cordon Nelson, ~/a Nelson Water Well DrillingU EA N N ~ ?~A G N E R Ryan Hansen and Cym~a~ Ha~o~ owe mo $3,092.00. The name and ~ddress of~e people'aga~t whose prope~ t~s lien is filed is: Ryan Hansen and Cynthia Hansen P,O~ Box 175 Pavillion, Wyoming 82523 4. An itemized list of the malerial delivered & work performed is attached as Exhibit 1. 5. The names of the people ~gainst whom this lien is made is: RYan Hansen and Cynthia Hansen 6. The Labor and service an~ material were last furnished on May 16, 2003. 7. That I was acting as a Con tractor, to drill a water well for Ryan Hansen and Cynthia Hansen during May of 2003. (W.S.A.) Section 29-2- 106. That I completed the water well but the Nelson's above named have left owing to me the sum of $3,0~2.00. 8. The legal description oftl~e property where the materials and labor were furnished or upon which th~ work was performed is as follows: The NE ¼ of Section 5, Tbwnship 32 North, Range 119 West, in Lincoln County, Wyoming. DATED, this day 0f August, 2003. ~2ordon Nels6n ciPo/a Nelson Water Well Drilling 167 STATE OF WYOMING ) ) SS. COUNTY OF LINCOLN ) The foregoing "Lien Filing" was acknowledged before me this day of August, 2003, by Cordon Nelson, d/b/a Nelson Water Well Driliing. WITNESS my hand and official seal. Notary Public My Commission Expires: /~ - / 5'- C~ $ NELSON WATER wELL 58O Highway 23g Freedom, wyomlng!a312o- phone a83.21t31 168