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HomeMy WebLinkAbout924051 000224 AFFIDAVIT Patricia J. Garrey, of lawful age being first duly sworn according to law, upon her oath, deposes and says: 1. That Donald E. Garrey died intestate at 723 Ridge Avenue, in Rock Springs, Wyoming 82901, on April 21, 2005. 2. That Patricia J. Garrey and Donald E. Garrey were married to each other in Pennington County, South Dakota on October 22,1955, and were husband and wife continuously from said date until the death of said Donald E. Garrey. 3. That on July 28, 1980, said Donald E. Garrey and Patricia J. Garrey, husband and wife, purchased the following-described real property from Battlefield, Inc., a Wyoming corporation: Unit J-59 Commissary Ranch Subdivision as said lots are laid down and described on the official plat of said Commissary Ranch Subdivision -'duly recorded in the office of the county clerk and ex-officio register of deeds of Lincoln County, Wyoming, together with all improvements thereon, and easements, appurtenances and incidents belonging or appertaining thereto, or used in connection therewith. Subject, however, to all mining, mineral and other exceptions, reservations, covenants, conditions and rights-of-way of record. 4. That said Battlefield, Inc., a Wyoming corporation, duly and regularly caused the execution and delivery of a Warranty Deed, dated July 28, 1980, in favor of Donald E. Garrey and Patricia J. Garrey, husband and wife, as tenants by the entireties with right of survivorship, as Grantees, which Warranty Deed was filed for record in the Office of the County Clerk and Ex-Officio Register of Deeds within and for Lincoln County, Wyoming, on January 31, 2005, and recorded in Book 578, Page 74 under Receiving No. 906176. 5. That at the time of said purchase and conveyance, and the execution and delivery of said Warranty Deed, said Donald E. Garreyand Patricia J. Garrey, husband and wife, and said conveyance was made to them as husband and wife, and created an estate by the entireties in favor of said Donald E. Garreyand Patricia J. Garrey, and that they owned and held the title to all of said real property as tenants by the entireties continuously from said January 31, 2005 until the death of said Donald E. Garrey on April 21 ,2005. 6. That said Patricia J. Garrey is the surviving spouse of said Donald E. Garrey, and by virtue thereof, said estate by the entireties vested solely in Patricia J. Garrey upon the death of said Donald E. Garrey, and that she then became the sole owner in fee simple of all the real property hereinbefore particularly described. 7. That this affidavit is made in accordance with the provisions of W.S. Section 34-6-102 (1977), renumbered as W.S. Section 2-9-102 (1977, as amended), and that the Certificate of Death hereunto annexed, and by this reference made a part of this affidavit, is a copy of the official death certificate of the decedent, Donald E. Garrey, certified to by the public authority in which such original death certificate is made of record. RECEIVED 11/312006 at 10:17 AM RECEIVING # 924051 BOOK: 639 PAGE: 224 JEANNE WAGNER LINCOl~~~UNTY CLERK. KEMMERER. WY ;':'t: :tl!:+:":j:,~¡ ¡:~:;;~lli:~t~~;:1 .f~·~~0W -_. ß 09,G4u~1I.i. iil~m¡~: 000225 DATES this :s I day of ~to bel<. ,2006. ~.~ PATRICIA ~REY THE STATE OF WYOMING ) ) ss. COUNTY OF SWEETWATER ) SUBSCRIBED AND SWORN to before me this ~ \ 2006, by Patricia J. Garrey. day of (~~ , ,.,\.~.WJ¡1:tESS my hand and official seal. ~~.) !I I,,~ .J.....~ .......~...\-.{>A "'.; ..- ~'-..:.'~ -~ 1I.."y't~ ~.I :" i;:~. IJ f'i!, '. (i'\ ~ ;;;{' ¡ c: .- Ot>...~~.~ : ." . ~ '" o'¡;a,; ;"0 en .. ~>:::' ';' "r ¡ Þ ·,.:r: '. .. ~ ~ ~ /'.\,," ::n.l :""",;,1 i . ~ .rfPl~~J . "\\ ~~ q ~ ~ ~ IW";.0." '( .',~ : N ta bl' - ~""';\i~'~:'''''':;'\''j' 0 U IC 'MY; çXjtnmi$§jôÌ1 expires: f\a ~ 1\ tlY>.k \~ ~ "UC~ i4 1:h....U&~~,;¡I. i -' -,.) O~~~lO~~1. 000226 1..OCAL FILE NUMeER Ie STATE OF WYOIIING DEPARTIIENT OF ~TH CERTIFICATE OF DEATH STATE FILE NUMIIEA :a. O'in¡ OF DEAnI ~r) (1i!*I""-'¡ April 21 , 2005 1.~SI.EOoALNAMe~_'") AoI._.~ DONALD E. GARREY 2.111õX Male >. &II ~ i Sweetwater 4.11QÇW. SECUIIITY_ 503-22-8494 IL AGE ~............ ~) 73 Iio. 1 DAY - -- ..DA1£ OF /IIR1) ~r) February 15, 1832 00lw 711. aJUNTY OF DEATH Rock Springs .. ~ 1CIIr.... -.........my) LaQ Preston, South Dakota .. _IITATUII RTltlEOF DEATH ~ 0--....__ 00Mln00d 0__ 1". aJUNTY 0_ O~ 1D.IlURYI_ ~,,-.... _ poIar""-..Iogo) Patricia J. Mills 11. EVER ... U.s. ARMED FORŒB? IXYES ONO 1211. IiTREET AND_ 12a. AESIDENCE STAl'E _ CITY. tOWN OR LCIÇo\TION WyomIng ... ~ ; .zæ (1. Rock Springs 121. INSIDE CITY UIoIITI? - 1211. ZII' IXIDE 723 RIdge Avenue 82901 £XYES 14. MCITHER'IINNoIE PIIICIR 10 FIfIIiT _ FiqI. _. ~ ONO 13. f'IIII1eI'SNNoIE IFnI. _. ~ Thomas E. GaI18y Nadine C. Noah IlL INFOI'MVoII'SNNoIE Patricia J. Garrey 111>.IIBATIQNIHI'TO tECEŒHT WIfe 1Ic. UMJNG AODIIE&8...._ _. CIIr. _. ZIp CadI) 723 Ridge Avenue, Rock Spri1gs, Wyoming 82901 1111. UCIiNIIE NO. 17L PLACE OF DIIiI'OIIITIDH......... ~..-,) Rock Springs MunIcipal 1.... NNoIE OF I1ICIUTY 1... _OF MCIUTY 154 Elk Street Rodt Springs, Wyoming 82901 1711. LOCATION ptY OR 1tIWN AND STATE Rock Springs, Wyoming 485 Vue Funeral Home 22. TItlE PRONOUNCED DEAD 23. WAIl COftCNEII CONTACTED'I 1000 IXYES ONO CAUSE OF DEATH 24. MRTL_.._.._--.......__..--........_..._ DONOT____.._ -.-..-,-..._--..-............. DONOTAIIIIIIEV....1E. _...,..._...._ MI__ '-. ~- eo...._ _1£ CAUSE (fIoaI_.. -~.._) ~...-..~. 1oao i1g"" _ _..... L _"-.øGCAa-. .- "ir+MY--" _-'''-'¡LMT. EIophageaI Cancer L IlUETO......._III): 1 Year 1>. IlUETO......._CII): .. IlUETO......._III): II. >. &II Ii Bi .I" (1. ~. DID 1œACC01ME ~TOIIEATH'I ~"2 ype , 25. WAIl AHAUTOPIIY I'EIIfOIIMED1 o YES IX/«;¡ obstÌuctive Pulmonary DiIeue o YES ONO laYES 21. IF fEMAI.£ AGED 1_ 0Ilol___....._ 0Ilol--''''-",'''''''1___ o "-,,aa_.._ 0-..___......._ 0Ilol....,-,...___42.....- ONO O_Y 21. _OF DEATH 0_ 0_ 0_ OWMHDWN O~ o PwIdOIg ........... o Could II1II__ III. DATE OF INJURY ~r) 31. TItlE OF IMIURY a PLACE OF IMIURY ~-.--...in.. -.-.¡ æ.lNJURY AT~ OYES ONO 34. LOCATION OF IMIURY...._ -. CIr....... ~ Ii. F.~A11Q ACCIIIÐIT. SPB:FY: O~/~ 0_ o 00lw 311. 0EIICfII8E HOW IMIURY ~.MID FTIWIIIPORT~ IMIURY. TtE TYI'ECII) OF VEHICLE(II IN\/CUIEI) ~......... -.,.. /IJV. 1IiowGIo.-) ~~~...,..¡ , - 10.._.......-..__..._. --......-................---.s. ' OCOftCNEll-On.._ "--"- ._ -......-................-_-.s. --..~ 17Þ. DATE CERTIFIED ~r) - AprIl 25, 2005 ... DATE IIECEI\/EI) ay fIEGIIITRM IoIo/Do f(r) AprIl 25, 2005 Kwt L Hunter, MD., 2751 COIMMtI'CiaI Way, Rock Springs, Wyoming 82901 -._~ SA DATE ISSUED April 25, 200S TInS....JS ~Q,~TIFY mAT this is a true correct conformed reproduction of the original copy"f!'. -·èf ~~cate completed by the Y ASE FUNERAL HOME and submitted to . .. ~S SERVICES, Wyommg Department of Health and Social Services, . _:: .. .:¡ .., " 11\ c\.Medical Services at Cheyenne, Wyoming. _. 1.) ;. . ~ STAlE OF WYOMING)ss COUNIY OF SWJiliiWATER Subscribed and sworn to before me a Notary Public this 25th ç of April 2005 ~Á ^ :" HOME '<' . fo,:··~~~m-Street . Roo¿"tpït~gs,-Wyoming 829ùl . ssion expires on April 21, ~7T"'", """"",,,,,..""'1--- ¡~CŒ~:;;t~::$~!,1Gj .~. '. <~:~!¡ .. ." ,....;...,.