HomeMy WebLinkAbout898501Filed at the request of
And to be returned to:
898501
Van R¥1]n Associates, Inc.
POF AmeFican Pence Company, Inc.
P.O. Box 36953
Tucson AZ 85740 6953
RECEIVED
,,, COUNTY CLERK
LI,~COLL
LIEN STATEMENT
(WYO STAT, ANN. §§29 1 301; 29 2 106)
TO THE CLERK OF LINCOLN COUNTY
FROM: AMERICAN FENCE COMPANY, INC.
P.O. BOX 19040
PHOENIX, AZ 8S00S
PLEASE TAKE NOTICE THAT CLAIMANT CLAIMS A LIEN AS FOLLOWS:
1. The Amount claimed to be due and owing is $2,924.74.
2. The name and address of the person or firm whose property the
lien is filed is: Williams Field Services, Inc., 2800 Postal
Boulevard, Houston, TX 77056
3. A statement setting forth the claim is attached hereto marked
Exhibit "A" and incorporated herein by this reference.
4. The name of the person or firm against whom the lien claim is
made is: US Pipeline, Inc. a Subsidiary of Williams Field
Services, Inc., 11767 Katy Freeway Suite 100, Houston, TX 77079
as owner and Prime Contractor; Redi Industrial Services, Inc.,
P.O. Box 310,' Lyman WY 82937, the Original Contractor and
Vinyl Wholesalers, 775 North 700 West, Salt Lake City UT 84116,
a Subcontractor.
5. The date when labor was last performed or when materials were
last furnished or the project was November 28, 2003.
6. The legal description of the premises where the 'materials,
services, equipment and labor was furnished or upon which work
was performed is the Kemmer Loop 449; Gas & Oil Well Site @'
Highway 189 & Highway 30 Intersection being a portion of
Township 21 North Range 16 West, records of Lincoln County,
WY.
7. A copy of the contract is attached hereto marked Exhibit B and
incorporated herein by this reference
Dated: April 8, 2004~/~
By:"~. ·
3anet Summers, Lim
American Fence Con
State of Arizona )
)ss
County of Pima )
The undersigned, 3anet Summers of lawful age and first being
duly sworn, states that she is the limited authorized agent for the
claimant, American Fence Company, Inc. That Susan E. Greener
director of Corporate Credit and Contracts for American Fence
Company, Inc. has knowledge of and has provided the facts and
information as contained herein. That 3anet Summers has read the
foregoing lien statement and that the matters contained therein are
true to the best of her knowledge and belief.
Notary Public ~_~L.c~-~ (~~~~
My Commission Expires: ~1 I t~/~
Nota~/Public State c~ Adzona
Pinm Crmnt~
Lauren Harank
Expires February 14, 2005
Please note that there isn't a seal for notary in Arizona, just a stamp
as noted above.
14×09×2004 14:58 AMERICAN FENCE CO.
09/04 FRI 13:07 Ft_~ 8Ol 487 7979
80062?0202
AHERIC-&.N FENCE C0.
NO. 091 Q006
i
'
14/09/2004 14:58 AHERICAN FENCE CD. ~ 180062?0202
09/04 I~RI 15:10 F/L] 801 487 7979 A~ERIC&N FENCE CO.
N0.091 D007