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HomeMy WebLinkAbout912102 ·'2~~~t:~~::;. t:*:*~*::;:~;~;i~~ : :; , -: ,¡~~ '~J ~,I"..,j~;;¡;~:!; , ~ , RECEIVED 9/22/2005 at 11 :07 AM RECEIVING # 912102 BOOK: 598 PAGE: 704 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY \_, 00704 AFFIDAVIT REGARDING DEATH OF TED L. ROBERTS THE STATE OF WYOMING ss. COUNTY OF LINCOLN Bonnie M. Weston, I being first duly sworn upon her oath, deposes and states as follows: 1. On or about the 17th day of February, 1999, Theodore / / / Llewellyn Roberts, a/k/a Ted L. Roberts, died, as is evidenced by the official certificate of death attached hereto and incorporated herein by this reference. 2. At the time of his death, Ted L. Roberts owned with his wife, as joint tenants with full rights of survivorship and not as tenants in common, certain real property located in the County of Lincoln, State of Wyoming, and which is more particularly described as follows: Parcel 53 of the Town of Diamondville, Wyoming, as shown upon the plat thereof dated August 31, 1942, containing 5000 square feet, more or less. 3. This Affidavit is filed for the purpose of establishing the fact of the death of said Ted L. Roberts and to make an official record of the termination of interest of said decedent in and to the above-described real property. ~ DATED this JG - day of , 2005. ~£yY¡,Lt(Jl~ B NNIE M. WESTON ,~,.UI. ~. ·i" / .' -..,.,.................... . ,',., . ,",.." , C00705 ,ifi[ '~.Ç) ~::..,~ 02 tJ::J~¡k¿A. SUB~;~I~~D f~~h::L; ~ and, a~~~~~l~~g:~nn~:f~~e w:seto~~is /5 ~ WITNESS my hand and official S~~i'~~A My Commission Expires: .1//9/1 Heidi Beachler· Notary Public County of' . State of Lnco!n Wyoming My Commission Expires !1 J¡9 /7 2 ".,. ,.,f~[~:¡~~¡m::;:';,ìi.- . ~~i~æl~f,~:;mti~ !m~m~¡¡1¡i¡)~ ~. ~ ~ ~ f~ ~I ~¡ !íI. ~ ~ i- ~ ~~ 1~ ~ ~ ~ . m ~ r' ~ ~ ~ ff~ ~ 'M ~I !~ ~ ~ ~ ~.. , I i~ :~, U '" ~ :~ '~ .~ i~ ,:ií !~ .~ ~ ~ .~ (Iii ,1,1 ¡f¡ '~ ~ .~ .~ -[~ :M ,~ '~ ~ ,~~ :r!) 'fÆ ..... ,'Iß .~ ,~