HomeMy WebLinkAbout904158STATE OF WYOMING
COUNTY OF LINCOLN
AFFIDAVIT OF ANNUAL ASSESSMENT LABOR
GROUP OF PLACER MINING CLAIMS
901 158
SS.
0571
RECEIVED
LINCOLN COUNTY CLERK
- ,,, 2:J0
,.fEANN[-
1. At least $ 200.00 worth of labor or improvements was performed or
made during the annual assessment year beginning at noon on September 1,
20 03 and ending at noon on September 1, 20 04
the following listed placer mining claims:
N~,e of dlaim(s) h~k/~(s)
Peacock Claim #2 564/149 14/197
upon or for the benefit of
WMC260693
Peacock Claim #3 564/150 14/198 WMC260694
2. The labor or improvements consisted of: Min~, ~hich omn~i.~d of re-
~ tha vall?!~_le ~1.~ in ~ fc~m of ~oks of different sizes, sc~ttemed thro~
oat both cl~in's, inns~cr~lcl~Eu~hsscra]cr~hill sidm~ . ~in~and ins~llint3
ar~ ~as ch~ at tim f~ll~_ng lo~: Peacock Claim //2 and Peacock Claim #3
3. The person(s) who performed the labor or improvements are iden-
tified as follows: Heather Hulse, Mike Hulse, Jesse Allred, C. Mark Allred,
Darlene A. Allred, Jacob Allred, Doreen Allred, Edwin Allred, and Mike
Allred.
4. Said labor or improvements were made at the request and for the
benefit of C. Mark Allred, and Darlene A. Allred owners of Peacock # 2
and #3 placer claims.
Signature of Affiants
Subscribed in my presence and sworn to before me thi~day of _)