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HomeMy WebLinkAbout875974 J0N J. BUNDERSON, #0487 /)?.%.,~ AT LAW ATTORNEY ~ ,j .. ~ ' , ' ,.....: ,/.f,., > J,,. ..... IN THE FIRST JUDICIAL DISTRICT COURT OF BOX ELDER COUNTY~ STATE OF UTAH IN THE MATTER OF THE. ESTATE : OF : LETTERS OF ADMINISTRATION : ROBERT MORSE B~CKER, : i : Probate No. .Deceased~ : 1 Karl R. · BecKer is duly appointed and qualified as personal re~senta~:i~ve of the above-named decedent on the ~0~soN&~,oN day of ~ ~ '-- ~~ ~~~'~ 2001, by the Registrar, with all authority J. Bunderson omeys~eCE SeCo.at haw Pertaining thereto. ' North First East gham City, Ulah 84302 :~ .(4a~)7~-~s4 2. Admin~strat:[on of the estate is unsupervised (435) 734-9151 ' 3. These Letters are issued to evidence the appointmen't, qualification, and ~'.~thority of the said personal representative. WITN~~ signature and seal of this Court this ~~day of / ~~ _ 2001. "~ , ~.~ ~ n ~ ~l 0OR RE G I STRAR ~- ) ....... BOOK tJ ~- 4i'~J t'J ..... ' ~ .., :-r-> '.: PAGE 0 0 '4 I CERTIFY THAT THE ~ REG~.~~ ~ ~_ ~,..,..,....~.~ IS A TRUE AND OORF,EOT" ~P~~~ OF THE ORIGINAL FIL~D IN ~~~ /,~ ('}[ ~F{? DISTRICT COURT, BOX EL3ER. '~.~.~ ~ ~ OF DEATH S'rATEF,~.NUM... " ?:':'I" ........ 7sT~-'7 ...... 'F~'F'?~"~;~':~'~;;:~;'~"~;'' ~- ': ~;, ; ....................... , ~ ,~;?~'~;~1~.~,~ .~ ~,~//;?L'/~ E~I~'~:''> · "' %, L~$T ..... 2 SEX 3a DATE OF DEATH (M~ Day, Yr) 3b T ME OF DEATH ~ ,~.~<,..>',~.:;~,~ ~,~ ~:., ,.! % ........ ~.~..~.~/..~..~/~,x~. ~,~ - .:~' .~. .. .. · . :.~ ~ ~.%:~ -'.~ ?-~: j t ~VE~]N ~fE'~}s, ~ ~ ~ ~ ~ V ~/.' ~/~.~ ' '. ¢.'<;-'/" . . during mos o wo~k no life. Do NOT enler mtlmd ~, ~>,.~,'~ ~.F~]~.~"~.~* ~ ~.!~:r,l~:,,, , ~..D,,vo~'c,d: ~ngineer Manufacturing :~-' ~'!/,(.4"",'~ ,3~?Jl~lD~ ~'3f/.~J~O~x~'~i~.~'~.~/A$~E~:DE~ODH~ANCORGN? ~-~1 Yes ~2 No 5 RACE-Back Wh]e Am 6 EDUCATONsp~c~yo/~yhi~h~s ;~:~;~9~7~ .;4~ eme, (Spac,h'l White ! 16 G.!~:~;~,:"'.~; !:~: ~'~.~.~.:..~.'~FFIO~F*-~ 2;. ~ ~, ~ :.~;~; ~. ;~.'~O~ D~ Di~POSITION 21b pLACE OF D SPO$1T ON (n~e o! cemela;y, 2 lc. LOCAT ON- C y or Town, $1ai, ' .~ ~;~"' ~' ~: 22 ;SI~.E.~N R~I:' ~E~I~iCEhS]~E" ;;:;':~' :' E3 L CEN'SEE NUMBER 24 FUNERAL HOME {Nam~ ~nd address) I ;'.~,~:?~'~>4:'i .......... ~/~;:S~ ~~~:!~ '~ ~D,{E~;: :' ;;'"/z ....... .:, ,':..'-h ..'" ';:' ' 27c. L CENSE NUMBER 27d. E~I(~N/~[DATE GN D (Mo .... Dey Yr) /,~/~ .~ x ~t~:~,-.::~:~; g::';~.~.~j[~T:~Rt~((~/,:}~/,~?~%j:~:;'/"~.~?:~?~[~!~,:',"::'' ]30a. DATE REGISTRAR NOTIFIED OF DEATH [ 30b, DATE FILED (~., ~V, Y~J :~:.:;;~, ~,:~.~);.~:~?~.:~:;;~:~iI~$~OUENCE OF): // , .~ ~:::,>.'~:~-4',, '?,'~ :"~"';' ~'",~ ~:,,:"'.,~:';,'~/;.~:,:.~::":<~ ~ ', : ?:,.Zl ,,~x,/~,,~ :. ~ .: ... . ~ · !.~ ,. ~Ri~I ~Ot~¢,~l~t]¢.~i~;~t~_,~l/i~(~t~rde;' !9:: ~'32./.~IN*yDUR'OPINION TO~ACCO USE BY THE DECEDENT 33a WAS AN AUTOPEY 33~. WERE AUTOPSY ' i:.:!: ;~.~.,~,~i:?~;~.'~:.~i:::".::..~,:'. '~..; ::... I [ u,.~., u,.No . ....... :~:,J, 1 '~?.'~: '~"~; :':'?'&":':;:~':~"'</~'~<':/:!;~>': ¢;: 35~'(;1~O~:A' ON>'($~et~',~n~ rd~4tenumbet; c~yor own ~ouMyand~ate.) 35f. Ifmolorvenlc~eacclaenl~spqrJfynaeceaentwa$ ·: ::~:,^~ld~o~l~ ~: ~',,,,~. ,!~ ': .. s,, ~' s~, ,. : ., ,..,. ~.~:;.' , :~', :':':'.~ ";t,:~',,.~:/:;:~/ >./~ ~?~: d/, ;~?,;? :~ ~ . '4:,?-. ' .' . ~ Q~¢fil~'in this office. This certified copy is issued 1~53 As Amended. Nangle i.:,~!R~E!CToR OF VITAL RECORDS · ~..]._~:~.i,-='~ .0076'0213.