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000081.
PROOF OF DEATH & HEIRSHIP
STATEOF ~
County of ~
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RECEIVED 1/11/2007 at 2:10 PM
RECEIVING # 926007
BOOK: 646 PAGE: 81
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT OF HEIRSHIP OF Gary Ben Robinson, DECEASED.
Glenda Robinson Flovd
upon oath, deposes and says:
The she was acquainted with
being tirst duly swom
That she is a sister
That said Gary Ben Robinson
Gary Ben Robinson deceased for
of said decedent.
years;
died intestate on or about the
3rd
day of April ,_ A. D. 1989, at
about the age of 48 years.
That the said decedent was not married at the time of death.
That the said decedent was married
two (2)
time(s), and the name of each spouse is as folIows:
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Nnme
I)nte of Dcnth
Yvonne Robinson
Divorced
Christine Daniels Robinson
Divorced
That the folIowing children of said decedent were living at the time of said decedent's death:
Nnmes
Addrcss
Date of Birth
Jesse Robinson
1806 Antelope Street, Unit A, Kemmerer, WY
1806 Antelope Street, Unit A, Kemmerer, WY
~8,497~ ~ ðrj9??
5/29/1980
Kim Robinson
That the following child
of said decedent died prior to her death, and left heirs as follows
Namc
Date of Birth
Muritnl Status
Heirs
N/A
If decedent left no surviving children, give the folIowing information:
First: List parents, if living; also list brothers and sisters; if any brother or sister died before decedent, also list his or her
children. Second: If no parent, brother or sister survived decedent, list the following if any surviving: grandparents,
nephews and nieces; uncles and aunts; cousins; if none of foregoing survived, list nearest of kin surviving.
Names
Age
Addrcss
Rclation to Decedent
N/A
000082
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092600",
That all of said heirs at law were and are of sound mind, and that none of them are incompetent.
,
That all debts and claims against the estate of said Gary Ben Robinson were' fully paid and at the time of his death he
was the owner of or had an interest in the following described real estate, to-wit:
Township 21 North. Rane:e 115 West. 6th P. M.
Section 36: All (also described as Section 36: Lots 37, 44 and 46), less and
except the railroad right of way
Further Affiant saith not.
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Subscribed and sworn to before me this
I
day of
f.
,2006.
My commission expires
,
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STATE OF t~<;J
COUNTY OF ' , £f\
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On this ~ day of '--11l)v1_LÐ1..~ ,2006, before me personally appeared
, (A \i ((T , who is known to me to be the identical person whose name is
a ¡xe to the above instrume t, and acknowledged the instrument to be ~v free and voluntary act
and deed.
My Commission Expires:
JAMIE PAINTER - NOTMY PUBL«:
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This is a true and exact reproduction of the document on file in
the office or Vi!al,B~cords Se""Jçes, Cheyenne, Wyoming.
Date Issued:
DEC 2 8
'\
Gladys K. Breeden
Deputy State Registrar
This copy is not valid unless it bears a raised seal and is produced on
multicolored 'security paper.
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MARGIN RESERVED..BINDlN9
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