HomeMy WebLinkAbout932482
STATE OF WYOMING
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RECEIVING # 932482
BOOK: 670 PAGE: 71
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00007:1
COUNTY OF LINCOLN
AFFIDA VIT OF SURVIVORSHIP
Suzan C. Pauling, of lawful age, being first duly sworn according to law upon her oath,
deposes and states:
1. That pursuant to a Warranty Deed recorded on January 5,2006, document number
914997 in the real estate records of the County Clerk, Lincoln County, Wyoming,
Suzan C. Pauling, Successor Trustee of the Ellen P. Campbell Living Trust dated
June 13, 1996, and Suzan C. Pauling, Successor Trustee of the Allen E. Campbell
Living Trust'dated June 13, 1996, GRANTOR, deeded the below described real
property, unto SCOTT CARLISLE and CHERIE CARLISLE, Husband and Wife as
Tenants by the Entireties, GRANTEES, whose address is P.O. Box 1266, Afton, WY
83110, reserving unto Ellen P. Campbell a life estate in said property. The property is
described as follows:
Part of Section 30, T32N Rl18W of the 6th P.M., Lincoln 'County,
Wyoming, more particularly described as follows:
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.."Beginhingata point on the Easfedge ·ofU.S. Highway 89, which is 70 fëet
North from· the Northwest corner ofBloèk 5 of the Afton Townsite. and
running thence East along the North edge of First A venue of said Town of
Afton, 844 feet, more or less, to the South bank ofthe Swift Creek; thence
meandering along said bank of Swift Creek, west and northerly, to the point
of intersection with the East edge of said U.S. Highway 89; thence South
220 feet, more or less, to the point of beginning.
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Subject to all easements, reservations, covenants, exceptions and restrictions
presently of record, in sight, or in use, in the office of the County Clerk for
Lincoln County, Wyoming.
2 That on the 11th day of July, 2007, said Ellen P. Campbell died in Salt Lake City,
County of Salt Lake, Utah, and was on that date a resident of Afton, Lincoln County,
Wyoming. Acertified death certificate of said decedent is attached hereto.
3. That pursuant to the. deathi of Ellen P. Campbell; sole title to'theaboÿe-described
property is vested in SCOTT CARLISLE and CHERIE CARLISLE, HusbåÚd and
Wife as Tenants by the Entireties.
4. This Affidavit is made pursuant to Wyoming Statute § 2-9-102 and shall be recorded
in the records of the County Clerk wherein the deceased owned real property and a
certified copy thereof shall have the same force and effect as an original.
Further the affiant sayeth not.
Dated thi£ day of August, 2007. '
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Su C. Pauling 0
Page 1 of2
STATE OF WYOMING
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000072
COUNTY OF ALBANY
Subscribed and sworn to before me, a Notary Public, by Suzan C. Pauling, on thisdl day of
August, 2007.
WITNESS my hand and official seal.
L~/ Q.
~/Lav~~~ a . XxJ
otary Public
My commission expires:
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SHARON A. DAVIS-NOTARY PUBLIC
County of .. State of
AlbJny . Wyoming
My Commlsalon expires Feb. 2. 2008
2of2
CERTIFICATE F DEATH
I State File Number: 2007007734'
Ellen Campbell
DECEDENTINFORMA TION
Date of Death:_
City ofDeath:
. Age:
Place of Birth:
Armed Services:
Spouse'~Name:
Industry/Business:
Residence:
'Mother's Name:
Facility or Address:'
July 11,2007
Salt Lake City
93
Lincoln, Idaho
No
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í
Education
Afton, Wyoming
Rpsalind Glover
OareSource
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Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
Father's Name:
Facility Type:
01:45
Salt Lake
Jun~14, 1914
Female .
Widowed
School Tèacher'
Bachelor's Degree
Lennert Pearson
-N ursingHome( Assisted Li,ving
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INFORMANTlNFORMA TION
Name: Susan Pauling',,' ,ii; Relationship:
Mailing Address: 11 Bobcat ~~reet.,Laramie;Wyol)'ling82.o72 '
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'ÔåÛ~hter ..
DISPOSIT~ON INFORMATION
Method of Disposition: Burial . .' ....,.'. ,"
Place of Disposition: .'A~9n}Cemete~..Afton, Wyorning'
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Date otDisposition: J,ul)' 14, 2b07
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FUNERAL HOME INFORMATION" ,;..
Funeral Home:ØoffMoryLJary. ....'/'
Address: ,8'090's6ÎJtIÏState, Midvale, Utan,84047.
Funeral Director:\Oel Ballard,
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MEDICAL CERTIFICATION I ," .,.......
Certifying Physician:Crys~al D bwens.16~4Eåsf4500South,Salt
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CAUSE OF DEATH "', !;", '"
Acute cerebrovascular ac:¢Jdent ,,'"
Tobacco Use: Non"user'.: .,
Medical Examiner Contacted: No Autopsy Perforl'J' ed: \Jo
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DATE ISSUED: July 11, 2007
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This Is an exact reproduction of the document registered in the State Offlè::~of Vltal'Ståtistlcs;;
Security features of this otflcialdocument 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 Registrar and the County/District HealthOtficer.
Updated Utah State Seal replaces hawk over valid for authentic~ty. . I
/J-..¡êH \ \ 1IIIUIIIHlllllm ~~~
Barry E. Nangle, State Registrar * 0 6 ~ 2--6 8 85 ~ * Director/Health Officer . .
Office of Vital Statistics ì CountylDlstrict Health Department