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Affidavit of Survivor.hlD
State Of Wyoming )
) ss.
County of Lincoln )
SHARON LORRAINE DENOVEWS AND DAVID LYNN CORY being fIrst duly sworn upon oath, depol88
and states .. followa:
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1. On the 16TH OF OCTOBER, 200e, our .¡.ter 'passed 'away, as Is evldenoed by the official certificate
of death attached hereto end Incorporat8d her.ln by thl. reference.
2. At the time of death we jointly owned certain real property, said real property being located In the
County 'of LINCOLN, State of Wyoming, and more particularly described .s follows: .
STAR VALLEY RANCH PLAT TWELVE (12) LOT FORTY-SEVEN (47) AS PLATTED AND
RECORDED IN THE OFFICIAL RECORDS OF LINCOLN COUNTY, WYOMING .
3. Said ...., proparty WBI orlgln.,ly conveyed to DAVID LYNN CORY, SHARON LORRAINE
DENOVELLIS AND KAREN HOLETA CORY, by JO ANN LAUE, dated APRilS, 1991, end recorded In the
office of the Uncoln County Clerk· and Ex.()fficlo Register of Deeds on, In Book 295PR at Page 516
4. By reason of KAREN HOLETA CORY'S death, WE are entitled to joint ownership of the
above-me,ntloned reel property.
Dated thIs '-I- - L.¡ - 0 7
Subscribed end Sworn to and acknowledged before me this 4- 4'- û 7
DENOVELLlS AND DAVID LYNN CORY.
. by S.HARON L.
Witness my hend and officielseel.
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. Notary P lie
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RECEIVED 4/10/2007 at 4:02 PM
RECEIVING # 928298
BOOK: 654 PAGE: 130
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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09Z8ZSS STAT'EqOFWVOMING
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qqDEATHCERTIFICA IE
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Decedent:
Name:
Gender:
Date of Birth:
Karen Holeta Conner
',Female .\. .,' ............,..
·Octpber 1 ~/ t9q4q)
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State File NUmber: 2006-003094
Soçial Sec:urilyNumf:¡er: _...,.,
Age (jtJhelïmepf De(jth: 51 years
l\iIanner of Death.: . Natural Death
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Tim~o.fD~ª,th:
Interval:
Years
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Date and Place of Death: .......q.........,
Date of Death: ... Octob~r 16;2006 :¡./
, City of Death: ..... Ri~ert4h'···· ,
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·.Ybu[¡ty Øf ~eath:Fremonf
Additional QeCèdent Infori'ï'latiop:, \
Placeof Birth: ... Basin, WYQming)
Residence: Riverton, Wyoming
Marital.Status: .........J'vlarrieq, ...... .. ......... ....
Narneof Father:Þaul Frank Gory'LJ
/ Maideh Name of Mother: \JoAnhCroy
Informant: James Lester Conner
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Dispositipn: ..... ..... .....,
Method of Disposition: .
plaçe of Disposiliqn:
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CrematiòiÎ. .
,pro~t1pn'eç~nxpnCrer;nªtory"Çody I ~ypming
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Cause ofDèath: . ... ... H,
The immediate cause is listed on thelirstlirie,lollowed by any underlying causes.
(a) Vulvacal1cer .... ......Hr ..... .H:. Hi:
Other SignificantConditions:\NotReøorded .... ......
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Cèrtifier:
Name:
Address:
Date Filed: ,
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Edward R McAuslan, Coroner
32~N 8th..~esl¡~lve~on{VVyomil1g '.",.
Octöber 19, 2006' J
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