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HomeMy WebLinkAbout910738 00705 00' 53 RECEIVED 8/9/2005 at 11:38 AM RECEIVING # 910738 BOOK: 593 PAGE: 705 JEANNE WAGNER LINCOLN couNTY CLERK, KEMMERER, WY AFFIDAVIT AND CERTIFICATION OF SUCCESSOR CO-TRUSTEES THE UNDERSIGNED, Jeanne Reed Esterholdt of Cokeville, Wyoming, and Frederic Clark Reed of Cheyenne, Wyoming, hereby certify that pursuant to the provisions of the John D. Biggane and Julianne Reed Biggane Family Trust dated May 31, 1996, as amended in its entirety January 15, 1999, became the Co-Successor Trustees of said trust by reason of the death of the Settlor/Trustee Julianne Reed Biggane on June 6, 2005, and the disability of John D. Biggane, Settlor/Trustee. Attached hereto and by attachment made a part hereof is a copy of a death cer- tificate of Julianne Reed Biggane and letters from two physicians who have personally examined John D. Biggane. The undersigned further certify that the John D. Biggane and Julianne Reed Biggane Family Trust as amended in its entirety January 15, 1999 is in full force and effect, that no further or other amendments to said trust have been made since January 15, 1999, and that upon the death and disability of the Settlors, respectively, the trust became and remains irrevocable. All persons are entitled without further investigation or liability to rely upon the represen- tations and signature of each of the undersigned as Successor Trustees, either individually or col- lectively, as having full and complete authority to take any and all action with regard to any assets, accounts and property shown by public or private record to be in the ownership of the John D. Biggane and Julianne Reed Biggane Family Trust as amended January 15, 1999. DATED this ~0~'& day of _//~, 2005. .,~,, Reed Esterh.oldt - ~ rr~te)ric Cla~-k Reed STATE OF WYOMING COUNTY OF LINCOLN Acknowledged before me by Jeanne Reed Esterholdt this ~ 7 ~day Notary Pd'blic ,2005. My Commission Expires: ~ ~t J,~, o~o~ ? d STATE OF WYOMING ) )SS. cOUNTY OF LARAMm ) Nal::}~'te Datta - Notary Public County Of State Of Lincoln Wyoming My Commission Expires May 20, 2009 Acknowledged before me by Frederic Clark Reed this ~C~-¢-dav of (~,u~, 2005. Notary Public My Commission Expires: ~ - q- 20L.~ RECEIVED 7~27~2005 at 10:58 AM RECEIVING # 910300 BOOK: 592 PAGE: 353 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY S.TATE O F....,WYOMI NG oo: 54 ~LID ~'~j 0 DEPARTMENT 'O'F HEALTH 2 0 0 s - ~ n t ~ 2 b ~i :0 0'7 DEPARTMENT OF H~LTH LOCAL FILE NUMBER 5 2 C~IFICATE OF DEATH ST*fL FILE NUMBER ' r ' -,: ~vanston . Uinta Rocky Mountain Care :Cheyenne, Wyoming :~i , ':'-i[..' no~.d ? ~u..,~i,~ i ,. D:Oi;~ Uti[ ?John Da y Blggane ;: : 11 E~R~NUS 12..~0~CE~E ' , , ; "i2~C~': ~,~ ';~ 72""~Q"",;~''' '12~I~TO~ORL~ATI~ . : ~s ~.o Wyoming ' - ' .... [ Uinta ~- "'~-:.'~-~';'~' 'Evanston 47~ .Yeii~ow Cree~.~~ "fi:- ::5 ::i: ,?:[ ::'::' John Albe~R'~'ed~.;;-." :~' ' 'John DalyBiggand,;: ,' :: ". I ::Busbahd :~:' 18. 81~NA~R~FONE~L~VICELIC~SE~ :'[ ~.~8~NO;;:' I}I,~E~FA~ILI~ "-~:~ . :~:: ' ~:~ '' I~.~D~SS~FA~IL~ .::~' ~::, : ~~ ~ ~ ~ . 464 ,~:~:-' [~Crandall'Fbh~r~i::H6~e ~. ~Ev~hston :: 0'"'7' 5 '?:-' :l:fc:' '~: ~ ,' (;,~ %:.: ' ~f:~[ '[~:: . ~f~ ~[::-,,. ::~¥ .,~ ,2' :::f~.., .~-;JZ ' )::i ;¢,..::s: '.~:. ,r :.' :::,~:~. ' :~f~ · :: . · . ',::. :;.. ,:,.ill[.:s, ~ :::.: ': CAUSE OF D~TN;.." :: :: ~: :::: ': d %. ~, .~2:?;:":., . .¢:-~ -' :;:: i . ..........[ ~. . ..... x .... ~ ..... ,,~.,.~ .:5- :~~ "-"~ ~'"~"' ::::: :J~ne : 08:.200~~930 .......... -: ............ '.'::. ': : :. ~ .................... :::.. ....... ~:~. : . .. "' auna 8, 2005 2 7:;5051 ........ This is a true and exact reproduction of the document on file in the office of Vitro Records Services Oheyenne, Wyoming. DATE ISSUED! JUN Lucinda McCaffrey :::. Deouty State Registrar This copy is not valid unless prepared on paper with an engraved border displaying the date, seal and signature of the Deputy State Registrar. Evanston Ardella M. Kemmler, M.D. Diplomate in' Internal Medicine and Rheumatology Internal Medicine Associates, P.C. :.;n07f)7 150 Arrowhead Drive Evanston, Wyoming 82930 Thomas J. Simon, M.D. (307) 789-0524 Diplomate in Internal Medicine June 15, 2005 RE: JOHN BIGGAINE TO WHOM IT MAY CONCERN: John Biggaine is a patient of mine. He presently resides at Rocky Mountain Care which is a local nursing home in Evanston, WY. He has a history of senile dementia which is progressive. At this point in his life, he is not capable of managing his finances and he is not intellectually organized enough that he can capably pay his bills. I would recommend that his next of kin be placed in charge of his financial matters. If you have any questions please feel free to contact me. Sincerely, TS/mrc MII,L VALLEY FAMILY PRACTICE Gerald Freedman,M.D. Janet Michelson, FNP Carol Chappell, PA - C 61 Camino Alto, Mill Valley, CA 94941 388-3515 or 388-0775 00708 Lawrence Posner, M.D. Merri Martori, NP Fax 388..6642 June 13, 2005 To Whom It May Concern: Mr. John Biggane has been my patient since October 7, 1999. Unfortunately, Mr. Biggane suffers from progressive dementia and is no longer mentally competent nor physically able to handle his own affairs or make decisions. Sincerely, C~~ Lawrence Posner, M.D.