HomeMy WebLinkAbout893160STATE OF WYOMING
COUNTY OF UINTA
AFFIDAVIT
RECEIVED
LINCOLN COUNTY CLERK
) ss-..-.-. JEAI'!NE
) BOOK PR PAGE~
COMES NOW, , David S. Crofts, whose address is
'~ q~ ,-~F'~v( (...~,/ I~~ ~ who, being duly sworn on oath
according to law, does hereby mal~e the'following stat~/nen~g'of facts and affirms:
That he is an owner of the land described under the Certificate of Surveyor on the plat titled,
"BEDFORD HIDE-A-WAY ESTATES WITHIN GLO LOT 2 (SW¼NE¼) SECTION 21
T34N R118W LINCOLN COUNTY, WYOMING", dated 10 June 2003.
2. That he has reviewed said plat.
3. That he has read and understands the provisions of the Certificate of Owners thereon and the
implications thereof.
4. That this affidavit is signed in the stead of and has the same effect as if the original mylar of
said plat had been signed.
DATED this Z I day of ~5'tYlt~ _
David S. ~rofts/'
2003.
The ~oregoing instrument was achlowledged before me by David S. Crofts this~21
.~x..-L,../ , 2003 /
Commission Expires: ~'~ ~'~:~'- ~Tq
day of