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Mail tax notice to:
PATRICIA JONES
1549 West 1200 North
Ogden, Utah 84404
RECEIVED 7/6/2007 at 11 :21 Alvl
RECEIVING # 931005
BOOK: 664 PAGE: 690
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER. WY
.,
QUIT CLAIM DEED
PATRICIA JONES, successor trustee under that Joint Trust
Agreement for the Robert W. Campbell and Betty J. Campbell Trust
Agreement dated June 10, 1992, as subsequently amended, grantor, of
Ogden, Utah,- hereby quit-claims to PATRICIA JONES, grantee, of 1549
West 1200 North, Ogden, Utah 84404, for the sum of Ten Dollars and
other good and valuable consideration, all the trust's right,
title, and interest in and to real property located in Lincoln
County, State of Wyoming, and more particularly described as:
STAR VALLEY RANCH PLAT FOURTEEN (14) LOT FIFTY (50), as
platted and recorded in the Official Records of Lincoln
County, Wyoming.
Subject to easements and restrictions of record.
c7M¡ :itnes:
the hand of said grantor, this ~SlÓlday of
2007.
STATE OF UTAH
( I ¿ ss.
COUNTY OF _1tJf)(¡P") ,
On the ~ day of f7~ ' 2007, personally
appeared before me PATRICIA JON S, the slgner of the Wl thln
instrument, who being by me duly sworn did say that she is the duly
authorized successor trustee under the Joint Trust Agreement dated
June 10, 1992, as subsequently amended and that the foregoing
instrument was signed for and on beha 0 the said trust, and said
Trustee duly acknowledged to me tha sai Trust executed the same.
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CERTIFICATE OF DEATH
State File Number: 2006015720
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O,Ø06'91>-:
Betty Jane Campbell
, ,
DECEDENT INFORMATION,
,Date of Death: December25,2006
~~City of Death: Washington Terrace
Social Security ~umber:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
Father's Name:
Place of Death Type:
Time of Death: 20:00
County of Death: Weber
Age: 83
Place of Birth: Hebron, Indiana
Armed Services: Yes,;
Spouse's Name: Robert W Campbell
,,"';r:,~;~~~~~e~siness: ~~~~~a6gden"Üt'h·
','::: ,,""Möther's':Name: '.. Eva Mae Wells ..
. Facility or Að,~~eSS,~ii\Pgden Regionéll Medical Genter
I" ,,',~" ... .:;t:;;'t2;. ", "::..,_
March 31, 1923
Female .
Widowed
Registered Nurse
Bachelor'sOegree
Edward C Gobdel
Hospital Inpatient
, .
4.;:..
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INFORMANT INFORMATION .>1 ' "," ",.i
Name: Patty Jonf3s'ð~~" ..""." Relationship:
Mailing Address: 1549 VI!.~st 1?.oO N6rth,p~iden, Utah 84404
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DISPOSITION INFORMATION ",'é:; <ct,;;Y"'; '.' ;:'i!> ;"ë"" , 'J"', J",' <,;.;;,
Method of Disposition: Buna,I/Creinatioò' ...";:;<;:.., ' .. :Date of-Disposition: December 28, ,2006
Place ofj>isposition: ::?:fqw~tl~M;$¿rial Ga,r~ê~,~,,~f th~'i~~sa~~~;,P9d~ß."~~~~;:iJ -3'-. '"þ'~
FUNERAL HOME INFORMATION"",,';:" . .. ','. " ...," ." "" ..
Funeral Home:/;:lfldqU¡'I),t MC?rtuary ~..ogden,"·':::;;;"ji +<;;1,,~;;;,:';';"'L~ ... "
Address: ':i34Q8..V\!~shingtonBoulE:¡vard, Ogden,Utan'84401 ,;:', '1; \
Funeral Director::Man;¡þall Nlßard!'J,eré';::f">,, ',:' '" í'
Daughf~~';;,; '.
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MEDICAL CERTIFICATION (t"':',;"',"r, £:).;",':""""...,. ... .. ' . ',: ..:
Certifying Physician: (3ilbertE C,aillouet MP;'4726\Hàrrif¡Ól1alvd:;;og'den, µti:ih?4403
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F:, /" "h . . ,'W '~'~;:', ~:. .
CAUSE OF DEATH"";::,, '";:'" ,.
Chronic obstructivepulmcihâry disease , ,,"'.,:, .
Tobacco Use: . PrgþabIY"Col1.lributed,/';(,"";'
Medical Examiner Contacted:i:NQ,'?'Aµtöpsy Performed:.No~' Månner ofDeàth:N~tural
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DATE ISSUED:
/
December 29, 2006
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This is an exact reproduction of the document registered in the State Office of Vital Statistics.
Security features of this official document Include: Intaglio Border, V & R images In top cyclolds,
ultra violet fibers and hologram image of a hawk over the word valid. This document displays the
date, seal and signature of the State R !gtstrar and the County/District Health Officer,
Updated Utah State Seal replaces hawk over valid for authenticity.
~ê~
Barry E. Nangle, State Registrar
Office of Vital Statistics !
!
1,3f ooS-
000692
ACCEPTANCE OF APPOINTMENT AS A SUCCESSOR JOINT TRUSTEE
The undersigned PATRICIA A. HOESEL, does hereby accept her
appointment as a Successor Joint Trustee of the ROBERT W. CAMPBELL
and BETTY J. CAMPBELL Joint Trust Agreement dated June 10, 1992, to
serve
as the successor Trustee to ROBERT W. CAMPBELL, now
deceased. The appointment of the undersigned as a Successor Joint
Trustee of said described trust is pursuant to the appointment as
set forth in paragraph 1. TRUSTEES, of ARTICLE VII, at page 8, of
said described Joint Trust Agreement.
DATED this 15th da¥ of
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May, )f9?8 ~ .at ~d7n, Jtah..~,
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-PATRICIA A. HOESEL
Successor Joint Trustee
LUNA COUNTY-NM
KAREN SHYER, CLERK
200703334
1 of 2
OS/29/2007 10:28:47 AM
BY MARIA
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