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HomeMy WebLinkAbout893341 REOEIVED -BOOK~3'-1:_ PI'{ PAGE '!i 8 6 LIEN STATEMENT LIN00LN COU~',tTY CLERK (WYO, STAT 29-1-301) 8 9 3 3 1 Jen~ns Building Supply, dba Jenkins Ace Home CentqG,hereby.~les g lien statement br material provided to Jim BUtte~doff & ~ountain Rogues, Inc., dba Bull Moose Saloon, P.O. Box 344~, ~pme, Wy 1. Name and address of persons seeking to enforce lien: Jenkins Building Supply, dba Jenkins Ace Home Center, 114 Hwy 89, Box 3001, Alpine, Wyoming 83128. 2. Amount claimed to be due and owing: $23,968.80 plus interesl/at 1.5% per month fi.om June 1st, 2003 plus attorney fees incurred in the collection thereof. 3. Name and address of the person against whose property the lien is filed: Jim Blittersdorf& Juliene Christofferson, 91 Hwy 89, Alpine, WY, 83128. 4. An itemized list Setting forth and describing materials delivered or work performed: Building materials including but not limited to, wood, paint, hardware, fixtures and tools. JOB ACCOUNT 1164 BALANCE DUE: Plus Interest BALANCE $23,968.80 + 1,139.95 $25,108.75 Name of persons against whom Lien claim is being made: Jim Blittersdorf& Juliene Christofferson, Rocky Mountain Rogues Incorporated. Date when labor was last performed or when services were last rendered, or the date when the Project was substantially completed: August 26, 2003 Legal description of the premises where the materials were furnished or upon which the work was performed: Lakeview Estates, Tract C, Lot 601, Alpine, Wy 83128 A COPY OF INVOICES AVAILABLE UPON REQUEST: Richard Jer/J(ms, Owner STATE OF WYOMING ) ) ss COUNTY OF LINCOLN ) THE FOREGOING LEIN STATEMENT WAS ACKNOWLEDGED BEFORE ME BY RICHARD JENKINS THIS [0'f~ DAY OF.._~e_ff/d,m~e~ I WITNESS MY HAND AND OFFICIAL S~,~, D. FLOYD - NOTARY PUBt.lC STfErE OF COUbtTY OF WYOMING LINCOLN MY 60~,*,31531OH EXPi~¢tES ,3/9¢.7.005 ~ ~-'-OTAR~7(~Li C