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HomeMy WebLinkAbout925584 u :j È' bÓ -0 .~~ .¡lj r.~ ,;. C,) 0:>0., ~ i:ì: .i- bO'Ô § 10' ,,..; ~ ,.., dJ 0 '1) ~ti¡g .- '1 ::I ¡: w, 8 q 11 ~ E: .~ II) B'\) <1; O~ ~....... "'¡..; ,., u ,t;:Q :-'§ \~ 5 ( (1 l - -- ..,.:.c{...~~~ . , AFFIDA VIT RECEIVED 12/2612006 at 2:16 PM RECEIVING # 925584 BOOK: 644 PAGE: 484 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY STATE OF WYOMING SS COUNTY OF LINCOLN I, Ronnie L. Olson, being first duly sworn on oath, depose and say: That I am a citizen of the United States of America and over the age of 21 years, and a resident of Afton, Wyoming. That I was well and personally acquainted with DeRell Olson and Norma Olson as described in that certain Warranty Deed dated July 27, 1993 and recorded September 6, 1990 in Book 289PR on page 397 of the records of the Lincoln County Clerk, That I know of my own knowledge that DeRell Olson and Marie Olson in the above described Warranty Deed and mentioned in the attached Certified copies of Certificates of Death was one and the same persons, This affidavit is intended to terminate the life estate of said DeRell Olson, aka George DeRell Olson and Norma Olson in the following described property: Beginning at a point which is 1065,38 feet north from the SW corner of Section 7, T31N R118W of the 6th P.M., Lincoln County, Wyoming and running thence N 00°05' E, 246,37 feet, thence N 89°34' E, 488.00 feet, thence N 00°05' E, 99 feet, thence N 89°34' E, 733 feet, thence S 00°05' W, 179,00 feet, thence S 89°34' W, 231 feet, thence S 00'05' W, 262.37 feet, thence S 89°34' W, 630.00 feet, thence N 00°05' E, 74 feet, thence N 86°39'05" W, 362 feet, containing 8.41 acres, more or less, Dated this ,3 0 day of vY\ t-.f' l-l , ,2006. ~V~:/Ô~N Ronnie L. Olson State of Wyoming ) )ss ) MARGE BI\LLS County of Lincoln Notary Public State of Wyoming County of Lincoln My Commission Expires May 25, 2006 _"'~_'''''''h''-''~~ The foregoing instrument was acknowledged before me by Ronnie L. Olson this ~ day of vY\ t\.~ L~ , 2006. , ~(G~ tJ~ \ Notary Public My Conunission Expires: 1"\("4 <>l.:$' I .À 0 t> \. \ 09"'~~"'8''J ~., ..J 'l.J "if: , I '" I' .. 0004gS This is a true and exact reproduction of the document on file In the office of Vital Recbrds Services, Cheyenne, WyomipQ. \ I 'I ¡ SEPi ,,2 2 2DOS 0/--<'- M~ Deputy State Re~5'ar / / Date Issued: I \ This copy is not valid unless it bears a raised seal and is produced on multicolored security paper. ,- ~ / / ii, :E!/J l~""Il' ....,...... t1H y¡ ~.. .....n ,..,"""",.EATH, ," ,ST~~~~¡¡.¡~ .-~=.., ~œDE~r..NIME ft:r1T MIOOI..E us, -·-··----:E2.SE~3~0A'&OFœ.'~t~!OIr.:.4. '...="' 1'_ GIWRGE VE RELL OLSON MALE I JULY 3. J998 :t. . !JIXW"\F.t:!1W1YNUUB£A ~, .,·.~,5b UN:r1..:œL:r !$c .....~_10AV ta DATE OF BlATHtAlb.., D.i. ,Jt,~ no.. ,I '_I '3 - """I..... j "C'r,nrR' 1914 p.!ßIIúC'rn..s ';20··09-0109 L-__~:' , '. ,. i ___ I. L...:. ,..:.:, .w.:x. I" ""LAtE~' OE^T" tcr.tc;.. ."", ..,\ _ , _ ........... -;;¡;ŠÄ,~, 0....,"", OE~I'MHoI,"," ODD~ ~;.......Jt:.. O~._. OOlheril~;---- -.-----,-,-, ,/' , 71:t fACIO'" tW,4E,,, nut hll'MOt. .,.,....... IftI rwnc., '0. Cf'N·j(j.M"~A11ON OP' PEATH "'-~'-'-I'd COUNTY oF DEATH f-TAR VALJ-EY CARE CENTER AF10N , LINCOLN . I WYO~IINC I _RREO, HEYER MNtRIED. 10 SUAVMHQ SPOUSE (II .... ""' I""" ,.."., W1OOWI!D. DnICIICED 1_'1 MARRIED NORMA HOPKINS ï"ÀiiõF'iiII'H'" not ..;1t'š..... ...,. ~r' ¡~:,.;. ì l, I...." " ,J>~-r~;·iti~..$';,~~ t'1tii'iiM'ëi1V LIMIT!" ~~ "!.-_~ no. :..J Ni) , ¡r..¡r;ï'tfœÑT EYER IN U S ARMED FORCES" 1 z. U5V^L OCCUFl'TJQN fait'll ItindDl ';~ mIØf m~h KIND OF BUSINESS OR INUUSTRY !ft><""'" Of.../ NO " FARMER 01_..,.... -' -I L, i\GHfCUL TURE ïiï.,iiiiwCE. !TAtE ..~ 13b co¡;;:¡¡-r- I~' ëIT't. tDWtIORl0CA11t* -~,..... ¡'3d .TAlfT ANÞ~.mÊt' \ i LINCOLN OSMOND ¡ 3466 S'U.'1'F. H.',::;'HIi,'!'Y ~4 ~ r =,;:o;,:,~~,,:::-=-' -""'--r::~'=~- '-F' '$:~'~='~~~'I Cubt", ....... '.to p.~.. Ele.' i ,,,..,,,, I ;F.:t),ii~;.~.~ .~~-;;.~~.;: i1fêèt¡¡¡¡;·"1.4 III' Ii " , ..xoa ,YnC.-..:.!_-----c=. ~~ I, . ...,L,{~~....__.,....l...--,'_ t....... Uf\ 1 11¡ MDTHft.n's NM". FIrII ......':þao ..........-."\ .-.... \ , ¡"ürtJl¡, . OLSUN FANNIE 1 P'¡'U5 . .--...- '1bRf.1.\!fDt Itf~")~ic·or:r:~"'!:NT ',1YOr~lNG / 1 ¡'".' ,,,'., F... ;'jJ;i:,;:'-. ~{t::·-":,· ,~:¡ ~t . i~:¡;OHGE I'" N'O"Il.\tIT:.'ÑW "t" qo !'tbl RONNiLiJì.SON S:~N ..... ·"':~:MiiL:'..W.-ÕÕÃEÏi".-· _.. STREET 011 RF 0 NUUBEP ¿¡iiõii'i':,.-:j-'-'" STATE llPOODf (,. '...t' J5to ST/\TE JIlGHWAY 241 l -- ~o..llI:Jn.""""".. 20. DA1EfAb. ø.r. tit} ~ -_......ou.._,' 2: .. .~ltJ·1 JUI.(\' 11, 1998 AFTON CEÞIETERY ~ - 1 I.. ~ ML $I Al:t1nQ...... I 'iii "¡IME OF 'AClurv , : M I : ',. .... . ~. .. · Ift)'....... I .-ø.. I ., .. ....c.......... .. J; '___I ~ 1 h.. f.r.. ÐU5I1Qt&,1IIa.. '"~ '1c Df'0EA'.. ./.," "111-1 i~ -, ¿dLl Q fa ð~ I L 10: 12 A. M --_.~ I-f J~ IH,...-ïf ATTE~ PH'r'S.&..Ñt- oKe.. T~N CERTIfIER ~, !,!It! I '.1'. NAME' 'ÄÑiAOOßESS OF CEATIFIEA tPHYSIQAH OR' CORONERtln. or ftfntl "/ " í). D. PERKES MD ) 110 HOSPITAL LAN!;; AFTON WYOMli.G .:.i3ÚO li<i"-'ÆàliiiW1- Ä~':?'" ,) , -·~25.OAŒIlEC_DBYREGI&I""f'I""Ðor' ".1 ....' þ.... ./' ,'-~ I 7..;, 7';;- "'- ..... ---". ~ d _._~ """ .'f!"!!. ,.. .............. or ~ '" c...... ..Ift: DD NIl..,.., 1I¡ti.... ellfrvtng. IUdti u ~ :=:~ ~~i'o<E~~o;=,:··_Of...n~,........,_.._...._.., I , :0NiI0",*,~ ' =;::: & IJ~ (2t1 ~Íí~CJF(f.t:.~1.·~áL,.. :1~Ji1L.k~~.,.~...._.._.____.__.. ¡ tl.uu~~ ..............._, DUE ml~/;?:l."~,CII "'J ,.._.1 -::---.' .-..'-::;-- .-:-..-i ýe~ . ,·t~.lrl/qiDlINMr!':.~ ~t';M. ~~ UNOt....~.... ~'AUI?: 1Ì".}(iÌ':.~" or k\io1:'( .. I -"IMH...... _"~t'tn~.""" _ d ¡¡¡¡¡ÿ'L~tn4E" r.~;;;;"r,.r.,¡:j:;;OI . B' CarldlIanI c.antf'I"''''- ';d;';.hb;; ;101 ,...... iii ~ ...;;, 1ft AUlT' ''-., ',' d . (_. V' .. ii"ìMNNEA á~ iirÅ'~ AFTON WYOMING 831lÜ=9;58 'oe. c,.-nAY OR CREMATÖ;;:NAMr. l'Od. LOCA'ßQN r.tTy DR toWN S'MTE , M·. ON WYOMING ......, lie. Af"OAI6JOt¡ii'LfTY , , 45 4k F.AST FOURTH AVE., AFtÖN I d, ........,or _11on.in,",~"",.occuned .. IN _ _ end _ ....... .. 1M co"""I". 1;g 1__....1 ~ Ji ..., DRI,_D/....:. '" ~."" HGURD'DflYH ',"'M :5 '3dPAIJ'''1UNCEDDEAD/~ ''', ..~ "--l'" "-OUNŒI'OEaoi,,-, '--...._.. "_"__'" . I' . ¿':. \ re., i ~.~ : ~I ·L "':) ~., , . no· : ~IIR¿'8!1 t ~ "M ~t .--'....-~._,.__ -L...;...._....:..:..~..... _,....,~.,.,.~."'..~__ .._,~ HiIII.... ;õ.t.(.:,'WII!' ,-. u::::::..... e r AU~'~,'.....-, Ic1Ñir-"E.EDtO'~,·- ·H"·,',' .,... t\D ,'-'''''''''''' NÛ NO 3011 i'ïMi ¿;··'·-THëIÑf.I'iv AT WORK? 3:..' D('&cR"'1i HOW ....ùAv OCCUAAED .~ ".AIRY f fa-.:-r.Wr ... tit nol ./ M I :aør LDCA1IOf'1¡~..Mr.m..·~ ~"II'AdI ~.-1:Iy '. -¡__ - - Oc:Duiilnaebt ....-... 30e.Pl.ACE·OF IN.IIIJRY-AI...... ,."", ,'''". ....,. ...1rA_..... /~I .I ..- ".::.:."i-H:.[¡'~ .:; .:.' ',', ,-,-, . ::. \: { .\::/ \:. ,.:" L> t .: STÀTE ÒFCÀLIFORNIA DEPA,.Frr:,1In,""SNifô[FIjIEA4fti SE~v¡êES ()OQ486 . .. .. '-' .. .'" iéER+Î~íêÂ+E okbEÂTH ",,'.. ;:" .,;:' ';:: .TATE :Iþ;' C"'-'''O''ffJA' ':::: :':- :-:,' '. . U." .u...r;"'·lNIC ~LVINO ."¡¡¡tu,,C.. WHlnOUT. O"·-.L....."ATltlN. \"8·1 tlREV ','eel, ~ ". .....-. . 3 2uou330 07 f 6 4 LOCAL R,GoI'TRATION MUM.." 3/05?OOO '4 1215 STATE I'IU: NUNaC" I'N;~'R·~;Cro~N'~ro""..'~N\ ",..,.,,1: "''':.' ..{~,I:'ri:~~~·'" "'.', .,' '....' '., .,' "'.,. -:: 4. DAO_~E'~~2~~t~"aTH9r'6'M'OD,-:',~',:~"Cyy II !I\~R' ..V":t I N~H":'; MT~(/~~=. .. U..... .ex 7.:~"T. 0" ~~TH MÞl/Þ::Ø'\CC\?_1 ~.~;HOUR ',. ]7 FLtH 1 I 'I" '1""'''1' : NI"~J~, F ,....".. '."nn "I 1 BJO DII:CIEDI:NT .. ., T"TE or ....n4 110. .OCIAI.. ., ., 'CURl",; ,." a' . t I. MlIUT"RV 8a"Ylcl: la. MARITAL eTa.TU. 131. .OUCATION_YCAtoR. COMPIZRO PII~:~:A~ ,,' IIY, ',' "'.. "1 "0-12-609 "·..0"" [X] 1(0D,j~¡;'J/I OQIIED "10 ,\' ..'. 1..:: TE ". I D~J~·¡tl~J:~~'·~ ,,\·m N~' )I ~:~;~ ::~(:~:D ' '7. II:H:CUI"ATION;:Ú: 18. ~;'~D O,....\I.IN&'.;" ,.. Y£A". 'N OCCU..ATION "" '" OIlNER/MA.NA.,GER· "., "..c¡ ...·DRAPERy MAN.UFACTURING···,:···.:..·,·:.... .,. ""'·.·2.0 ,"" <. 20; ~~~IDIIN~.--o~T~_ .N~.."UM.E~ O~, Lac.n~N' ,',..." .:'. ',;('S, ,I":) ..:)""."},. .. ....'... USUAL ,,' .Ö265 E/' NEIIPORT RD. .'.:...,....,....'.. ,.""..;:...,.,.,,'/ '. ....,...""../,. '.. ',::.... , RI;SIOENCI: 1.1. CITY :c, :Ita. CCMlNTT u~ &I~ CODIE ç a.t.'YR"'IN COUNrv IS. 'TAn Oft P'OllI:ICoN COVHTWY '9 H>4.· .. .:c...:¡- "./~CA· -(;~t¡l~~~~¡~~'~ "', :;;R~tH~.jPI..' ',.'.,.., :'/(. ~~\': :"¡JðPI()¡~;' ~ ~1 \\Y: ~ IIV T.n 311. HAMIE OF,......H,.R-~~~~~~ ,:':</:.:':~:..,.,_W'^ 3 ~,aa, \ .-~'; ::tr/:': ,~7",_.LA"~),!,""'a..I'\' .\,\ '\ V- n, .,,'....~TATI MADELIIIE,' ,,' ,'. ,'of". I\. \ 1.,~"'.;;¡",,"'7/ ':·...,1'ÖLMA~\y) '\Jo,~', 'i':,:' "".IIY D'...,......... ~..' ~·:;;l;;~S~:;~~~·1N"' 1~:;E~~:;:·~9:~1~ fA' 'W·~~ë:A.9i5';.u \\ "\\ :::'~ ·';:;(:~I~\J\X.. ;.;¡:~~ ~~~; ':,\);,\,"\) ~ "f;~?:';Aii I?, ".. v~'J;·=6iTUAR;:</jF~\~ r~:~~~~I:'l~~i\ ~1~iriaoaJcc.v PLACE 10 ~~TilY~~~·IIÈ !. (\ ~ I ~"!~:':tJ1=r~"15~:-;rx,~: ".:t.' ~=:;~E:7~E V p DU,"H 'D";;1·:..::,::;::~:~~ftr..;.;:0·>e CO ~.,."'; 1\\'0: i ~D;~~;" >< 10~ w.. c ~t:r.-~.N"'~".~Y ON. C'U" .,, u.c~.....;~C\' ~ J "" ". TI."",'."" 'CHI. alA'" """"iD TO C._.. ~~~ l?':- ~~'\'.........",.. '':~':':::''"ŒJm DNa ...'~', ~~:. ''','''''' '''::;.";' ~~ : .\~;;:;::(F 'i~'.· 1~:"· ~ ..... ",/ DUE TO ""CEREB .T\NE """ ,<:0" SECS,. ...._e ......9 ~U """:, , .,'..',','.....,.'''' . "...,.:',..':' . ....:,"..... D~H.'~·' IC"{;t\? _....,,,):.,/ ....';"/·.'/i...{{·)",THS. '\ (~~ 'DI I'P:RIPHERAL·,. ;. .',...,',/;,;:. MTHS, ~ 1\'1 '- ~~IGNI,.ICAHT CONDITtONS CONTRIBUTfNa TO OIlATH .UT ':"O!""'\.ATD TO CAU.E CiVCN IN 107 \ I \ Nm "..'...,"'...'{" ' . .. :. ",.... ....i\.'\ "... -:.: 1"113. w,~~ O~.,."'n:r,~-..E"ro.~r..~D FOil AN\,èONøn;:!:N~~:m:'~1crr_,~~,,~.~.~1 Itn.. ~~,~.~PE:~t ~~!i:"A~~.N ANO DA~r. HEr~ET,..·.... ,/ ·",l!lVER:S'I..n..·...:.' .,."". N.-¡~.,.L ..~,', tlO~,~~ I":,,::,: "'"., "" .:,...,..",: "" ::t: '., KARI'N ;~è¡;ò;~[' ~~UGHTj:R\..i .18. NAMe or .U~V1YI"\I.."U.E ,",".T a8.MII;tOL& ,.?, IÑFuA:fìI"NT - .~U.E .:- : AND JÞA"I:MT :::: INfORMATION I OII.·::.IO....y ·...£"r:ORMaD Om ,.. GJ~o .110. A~,..y 1I'E:~r.Q"MI.D, [J...GlNO ,".," .1,.1_1. U'Ítø INDI1UMININI CAUl'::: '''n'''h VI. I.xJ No ,.", » , ,.' " "HY,.'- ",. ClAN·. C'I;RTIIft'ICA· TIOM NO ",......,.. ..'", ',', .',' C"...n,.,.,' neAT T, 0,""", .I:n 0..,.., Y KN,O'M.o, , 1 t.~~.~TU~~.=:,',..,O TlTLÆ 0,' c.., Tlnc,. '.' .'..,'.., U" CIEN.K NO. '17. DATI: MM 'ÞÞ,'CICTT :="~~·~~;:.':.·?.;.:~~'::::.""..:::~Ír: þ, Ii' ~·:i1.V~tqJtL~'\A061 7)608/18/2QOO ...,'::."';~~":~~rf~'··:~~~~~:c;,.·n:... 'TTR'ièG rHytlci~:. ....~..~UNCI·:'~.~~~ .'....', .,".,'., '.., 01/19/2000 '07/B/200D ROBERT VAZQUEZ, MD., 2'90 E. FLORIDA '101. HEMET, CA 92544 ~~::D":~"T~~ ~~::':::~ ~:':':.u.eE 1",.0. . INJURY AT WOJtKI'''"I. INNRY DA, TI:.~, No' D D, C.. Y Y I I a&. HOUR 1aa. P'LAC'I: or INJU"Y .TATEþ·:"'OM·::THE::-CAU..... -'TARO.':::: ::' Cl~~ EJ N~r·l··\·...···-······ _{-.."....\:,. l~""\: .:<:, .-:; :/ '-:.;, >:- ".. M~"NEIII::OP' D!~T:M ::::..' ':;'; . O 0" . 0 .. :~~~....)~c~:r~ H,j!.~/"T occu~r:~~..~EV~....'H'C~r~IÉ.ULTED,?~ INJURYI :::.' \.: . ::~: "N~~"Å¿:: :~ICIDI: :::. NOMl~~DI O 0 IÞlNOING 0 COUU) HOT I. ACCIDENT INVIfT1GATION DKTI:llIfIIfID I...~TI"" .,.'! I:....-::I!'~O NUM.~~ O"-::~~ iO~:.AND·:~iry~_zl...~::.. COROH....·. u.e ONL.Y , \/' < ", <> ..,. "..,. >i .: ....~ ~GNATUIIÏII: 0."(:0"0"1:" 0" D.rvn Co"d",,,, '=-.7..I:)ATCNN/DDiCCYYI,.aa. "'''£0 NAMI. nT'LI or CORONIIt: Oft DEJIIUTY CO l (I"I" : I 0/ I ~Ir" r'"ç'2 :é51 < IC.N~U. TCT ':.....,...,.,.'.'".' .' þÞ .eTATE REGlI.TItAIII: A 9' ·..'kF.J..I0i "\ , ...., ,.,'., Thists t~ce~Îfy tJàt~l¡¡s docuwe~t is~ ~~ cd~;Òf tl;~&fficial\ . record filed with the Office of Vital Records.' .', ~¿~ "'~, S~e2~.',4lt,IO: l~ MICHAEL. L. RODRIANDAT¡;¡ISSq.¡::D STATE REGISTRAR OF VITAL. RECORDS 11111 1111111111 11111.1["IIIIII·IIIIIJIIIIIIIIIIII~ I"~ 'r00104016 .....r'. This copYl1ot valid Ul11essprepared pnerogr~vedþord~r d!splaril1gseallUJ? signat~l f Re~istrar,.," ~~__C-'_-,':""""':L,.2~L_.~""_, -';--~-~~-''''':"'"-~-'~-----~~---~~~"":~-.,,:,,---~---~_.~~- . " ,', I , ' '.',