HomeMy WebLinkAbout876053 Quitclaim Deed
By this instrument dqted .:i' ~/I ~ lO I , for a valuable consideration,
do. hereby REMISE, RELEASE, )~:nd FOREVER QUITCLAIM to
the following described real properly}' in the State of Wyoming, County of Lincoln:
r :oo 4?3
...................... PR PAGE c, ~, 0
Together with all and singular the tenemenh~,i,,heredltaments and appurtenances thereunto belonging or in any wise
appertaining. '"
Witness ~ hand(s), this '..ie'~'''e~x day of ~3C
When Recordo~, mall
p~ally~aRpoarod bef~ro,~o, a Notary Public,
who acknowledg.d that, ~'--~ executed the above
Inltrument. , I
HEALTH
:~7 LO~L FiLE NI~MBEI~ STiATE FILE NUMBER
QF,,DECEDENT. ,' ,.. FIRST,,. 3~ DATE OF D~TH (~., Day, Y~) 3b, TIME OF D~TH (24 hr. cl~k)
--, NURSING HOME OR OTHER FACILIW
Cliffs R~io~l ~e ~t~
... T~y Wilson
ilo ~. Bluff
~:ge~ ~ 84770
. ;': ~ ~, 27d, DATE 81GNED (~nth, Dey, Yead
' E~R THE MODE OF~DYING, SUCH ~ C~D~C A~p~me~ InM~l
';":'' dee~,'~ 5. NONUSER ;[ PERFORMED7 FINDINGSAVAI~LEI
: ' '' ,' / ~, PRIOR TO COMPL~ION
:" ~.~NNERoF D~TH 3~. INJURYATWORK? 3Id P~CEOF NJURY.Athome ~
~ ,Th'IS i~'t~ 6e'r'fify that this is ~ '
0ffiee. This certified copy is issued
under:=abthority: 0f section'26,2/~; Amended.
County :'
VITAL RECO'RDS
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