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RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
Dale H. Dawson, Esq.
DAWSON, PASSAFUIME, BOWDEN & MARTINEZ
4665 Scotts Valley Drive
State Scotts Valley, CA 95066
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Mail Tax Statements to:
RECEIVED 8/4/2006 at 10:34 AM
RECEIVING # 920951
BOOK: 629 PAGE: 46
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Gerald Channing Griffiths, Trustee
2611 Huntington Dr.
Aptos, CA 95003
AFFIDAVIT - DEATH OF TRUSTEE
ACCEPTANCE OF SUCCESSOR TRUSTEE
GERALD CHANNING GRIFFITHS, of legal age, being first duly sworn, deposes and
says:
1. That RICHARD MANSEL GRIFFITHS, the decedent mentioned in the
attached certified copy of Certificate of Death, is the same person as RICHARD M.
GRIFFITHS named as the Trustee in that certain RICHARD GRIFFITHS 1999 TRUST,
executed June 11, 1999, and on that certain Grant Deed, executed June 11, 1999,
recorded as Document Number 859330, in the Official Records of Lincoln County
Wyoming, on June 17, 1999, relating to the property situated in the County of Lincoln, State
of Wyoming, and more particularly described on Exhibit A attached hereto and incorporated
herein.
2. The undersigned, GERALD CHANNING GRIFFITHS, is the duly appointed
successor Trustee of the Trust referenced in the recorded document, and hereby indicates
his acceptance of the office of Trustee of the Trust referred to above.
1
'0920951.
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This Affidavit and Acceptance is executed this .:< '/ day of t!~
2006, at Scotts Valley, California.
State of California )
) ss.
County of Santa Cruz ) [!;
SUBSCRIBED AND SWORN TO before me thi~ day of -.--L,[ J , 2006, by
GERALD CHANNING GRIFFI personally known to me or~;;~ on the basis of
satisfacto en to be e pers n who appeared before me.
JANE L. DAWSON
Commission # 1366799
Notary Public· California ~
Santa Cruz County
My Comm. Expires Ju127, 2006
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COUNTY OF SANTA cRUzr;OOC"48
SANTA CRUZ, CALIFORNIA
STATE FILe. NUMBE~
1, NAMe: OF OECEDENT- FIRST {Glvenj
CERTIFICATE OF DEATH
STATE OF CALIFORNIA
USE BlACK INK ONLY I NO ERASURES. WHITEOUTS OR AL TERATJONS
"'S·11 (REV 1104
,
3-2006-44-000690
LOCAL REGISTRATION NUMBER
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Richard
Manse1
AKA. ALSO KNOWN AS -
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CA
13. ffe~C~b~~~hee~Itt;'i~l~k)llD.vrn 14/15. WAS O/:.CEDENT HISPANICILATINO(A)/SPANISH? (It Y'I, II' workihulO/l blck.)
Master's DYES [XJNO
17. USUAL OCC.UPATION -.- Type 01 work 10rmO$L 01 III.. 00 NOT USE RETIRED
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~1. NAME OF FATHER -. FIRST
34. BIRTt! STATE
Penr
35. NAME OF MOTHEA - FIRST.
CA
38. BIRTH STATE
Marie
CA
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39 DISPOSITION DATE
CA 95003
41. TYPE OF DISPOSITION(S)
43_ LICENSE NUMBER
CR/RES
4.4. NAME OF FUNERAL
Santa Cruz
101. PLACE OF DEATH
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Residence
107.. CAUSE OF DEATH
r;m.'lnl.1\I1I1 a.t...-...n 1011. DEATH REPORTED TO CORONER?
anIBLllndDIIILh 0YES DNO
R 06FEAÕ3Uï3
109. BIOPSY PERFORMED?
DYES [KJ NO
IMMEDIATE CAUSE (A)
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condUlons, Lf any;
leading to cawse
on Line A. Enter
UNDERLYING
CAUSE (diseas.e or
In Ul)llhal
IniUaled th... fiI"'IiIrilS . (D)=-
reilul1ing I" dellth) LAST
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: 06/06/2006
1 HI. J CERTIFY THAT III MY OPLNION DEATH OCCURRED AT THE HOUR. DATE, AND PLACE STATED FROM THE CAUSES STATED
MANNER OF DEAT~ 0 Nalura 0 Acc;:idant 0 HDmicid. 0 Sulcld. 0 r,.~~¡~:.tion 0 ;~~I::"~~~:.
04/16/01
2025 So uel Dr.,
Santa Cruz,
120. INJURED AT WORK?
DYES DNO DUNK
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~ 125. L.OCATION OF INJURY (SI,eet and numb,¡r, or ¡u=Uon. and dlV. .nd ZIP)
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126. SIGNATURE OF CORONER I DEPUTY CORON""R
CENSUS TRACT
127. DATE mmlddlc:cVY
128. TYPE NAME, TITLE OF COAONER I DEPUTY CORONER
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000713
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FAX AUTH. If
STATE
REGISTRAR
CERTIFIED COPY OF VITAL RECORD
} 55 DATE ISSUED J U N 1 6 2006
true and exact reproduction of the docume~t officially registered and
the Vital Records Section, Santa Cruz County Public Health
¡ '"1111111111111111/1 1111111)1111111 1/1111111) 111/111/
*000165840*
7ck~T
CHIEF PUBLIC HEALTH OFFICER
SANTA CRUZ, CALIFORNIA
This copy not valid unless prepared on engraved border displaying seal and signature of Registrar. '% .' Ç) "".
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EXHIBIT "A"
Lot 245 of the Lakeview Estates, Tract "A" I a subdivision
of the S~SE~ of Section. 29 I T37N, Rl18W, 6th P. M. ,
Wyoming, according to that plat recorded in the Office of
the Lincoln County Clerk.
Subject to reservations and restrictions contained in the
United States Patent and to easements and rights-of-way
of record or in use.
Together with all improvements and appurtenances thereon.
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