HomeMy WebLinkAbout909893 RECEIVE ';'~'~'~ ~':' -
D 5 ii;:!/!i 05 at 4:04 PM
RECEIVING # 909893
BOOK: 590 PAGE: 78'1
JEANNE WAGNER
LINCOLN COUNTY CLE :~K, KEMMERER,
AFFIDAVIT
STATE OF WYOMING )
)ss
COUNTY OF LINCOLN )
I, Rhea Roberts Miles, being first duly sworn on oath, depose and say:
That I am a citizen of the United States of America and over the age of 21 years, and
a resident of Afton, Wyoming.
That I was well and personally acquainted with John C. Taysom as described in that
certain Warranty Deed dated December 10, 1967 and recorded January 17, 1968 in Book 81PR
on page 317 of the records of the Lincoln County Clerk.
That I know of my own knowledge that John C. Taysom in the above described Warranty
Deed and mentioned in the attached Certified copy of Certificate of Death was one and the same
person.
This affidavit is intended to terminate the life estate of said John C. Taysom in the
following described property:
Commencing at a point 60 rods North of a point 267 rods East from the
Southwest corner of Section 25, T32N RI 19W of the 6th P.M., Lincoln County,
Wyoming thence West 80 rods; thence North 20 rods; thence East 56 rods;
thence South 6 2/3 rods; thence East 24 rods; thence South 13 1/3 rods to the
point of beginning.
Dated this ~ ~ day of
, 2005.
State of Wyoming
County of Lincoln
)
)ss
)
The\foregoing instrument was acknowledged before me by Rhea Roberts Miles this
day of \~ ~, 0_~ ~ , 2005.
My Co~ission Expires:
,-00782
'177
TE'OF COLORADO",
HOLDTO LIGHTTO VIEW WATERMARK
STATE OF COLORADO
CERTIFICATE OF./DEATH
{PHYSICIAN OR CORONEfll
, John Charles T:avsom ~ M , S
. . ' I,~.'.? widowed b, ' none
? 5 0~07-9151' A ~,~ ~ General
Abr~ Jaynes Taysom
,~ grs. Dora I. Paul 'd'au~hter ~u~:.'i:629 Atw0'0d, Lon~ont, Colo.
-~e.~O£nTSUICIDE, HOMICIDE
· , =... ¥o~ · -~...dt.:~HO~ INJURY OCCURRED i,.,~'- ...,.,.[ n~ '...u. .... ,~. ..~. .....· ....
20~. 2Ob. m. 20(
........... ~ ...... j ........ "~ ~ ~.. .... :.:~'/ ~ ~: ~':: ....
"-. Burial I''~- 8fton Cemetery "'. Afton. Wyoming
~,../ Sept. 2 '-) 197~.. Howe MOrtuary.., ~39~COffm~, Lon~ont, Colo. 8050'
~ r) r: ,. , :; cDr ~enealo~use Dray . - _- ' '
-'~HI~1STO~E~TIFYTHAT THI SIS A TRUE AND CORRECT COPY OF THE '~FFiCIAL RECORD WHICH
IS
IN--CUSTODY.
STATE REGISTER
Do not acccp~ unless prepared on secudt~ paper:with engraved border displaying the Colorado state
seal and signature of the'Re~sirar.::~PENAL~: BY LAW, Sectipn 25-2-118 Colorado Revised
Statutes, 1982, if any person alters, uses; attempts to usd.'or furnishes iD another for deceptive use
any vital staustics record. NOT VALID IF PHOTOCOPIED.
REV 07/03