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000863
I, Peggy N, Barker, being of lawful age and duly sworn according to law, upon
my oath, depose and state:
Affidavit of Survivorship
That under the date of August 4, 1999, for valuable consideration, O. Thomas
Love, Jr. and Laura A. Love, by deed of that date, which deed was duly filed of record in
the Office of the Lincoln County Clerk, on August 17,1999, in Book 434PR, Page 551,
conveyed to Robert Jay Barker and Peggy N. Barker, husband and wife, the following
described land, to-wit:
Star Valley Ranch RV Park Plat 1 Lot 89 as platted and recorded in the official records of
Lincoln County, Wyoming
II
That by reason of said conveyance aforesaid, the said to Robert Jay Barker and
Peggy N. Barker, husband and wife, became the owners of said real property, and title
thereto vested in them continuously from the date of said conveyance to the date of death
of Robert Jay Barker, on the 29th day of June, 2006. That by reason of and upon the
death of Robert Jay Barker, title to the above described real property vested absolutely in
Peggy N. Barker, as surviving spouse.
Affiant avers and certifies that Robert Jay Barker is the identical party named
with Peggy N. Barker in the aforementioned deed, whose death terminated his interest,
title and estate in said real property; and Affiant attaches hereto and makes a part of this
affidavit, a copy of the Official Certificate of Death of said decedent, duly certified by the
public authority in which said death certificate is a matter of record,
Dated this d.1~! day of ~ + . ,2007.
RECEIVED 10/8/2007 at 4:37 PM
RECEIVING # 933834
BOOK: 674 PAGE: 863
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
QTr/lf~
Peggy N. Barker
State of \D~l(~ )
County of U IA-W \ l..L- )
) ss.
Subscribed and sworn to bef<¥e me, ~otarx public in and for said County and
State, by Peggy N, Barker, this ~ day of ~ I ,2007.
WITNESS my hand and official seal,
NANCY J. BROWN - NOTARY PUBLIC
COUNTY OF . STATE OF
LINCOLN', WYOMING
MY COMMISSION EXPIRES <ofë)6(ëJ{)( D
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tary PublIc
My Commission Expires:
(p 1ò5I'dDlD
Thil Docu~nt II bel", ~rd.d by
Rocky Mountain Title Insurance Agency
of Lil1ccl~: ::;urty as a COURTESY only
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STATE OF WYOMING"
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Decedent:
Name:¡.
Gender:
Date of Birth:
ÐEATHGERTIEICATE
. ..... Robert Jay;B<3rker
.....Mate\ i),
March 18, 1932
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,.... ... .. Ståie FÙe NÚmber: 2Ó06-00220~
':·:}·SoçiåfS~¿Ù~¡tY·Numb~f: .... ...
)....i Age ättheTiriìebf Death: 74 yèars..
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Daté·:andPI~ce·øfOeath: ..\{....}....:.. ,.J¡)
Date of Death: .... June 29. 2006 )t 'hi
City of Dèath: ....Afton ............
AdditiOná!. ·Ö~c~dènfJriforr11~do~:...... ......".... .. ..
Place;··of B:lrth: .:':" Roy(.Utah ;::~ . '-:::~'''':'~'::_'-';':' ,.?< ..... ~'.'.
Residence: South Ogden, Utah.,,! ...
MaritatStatus: . '.. ..Married ..'.. '.. ..'.'. .",.....'",....'·Närpè,ot.sÙpJi\{jng'iPPRlJse:,PeggY..r-.JeISjoQ
Name of Father: iSidis åarket )i'
Maiden Namé of Mother: (jlådiS Frariþo"" .,
Informant.q.;Pe.~gy Barker.!; . R.èlationshiP:~ife
~~t~~~i~ÓBispb~i~ion:( Remov;(Ú6mst~tê ....:"q.....'~'
Place ?fDisppsit!on: .Lind~ui~tqe.rpetêry'.Ogøen;,~;~~"\
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Cause of Deåth:q i> . .......................... .... ...............,.. ..... ....
The immediate cause is listed on theJirst line, followedbyanyunde'rlýing causes.
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(b Opl1gè~We 8é~rt $äi/ure\ 'qJ; ..'.'.J:'.. .. ( ;
(c Coronary ArteryDisease~ .............. ....... .............
Other $i9I1ificantCc>nditions:.Not8.ecorQ~q):, ...... ,"
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Mannerof Déath:·NaturaIDéath·········
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Certifiër:
Name:
Addness:
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iScott Benhètt,b.d. .i;"i.... . .......
110 HospitalLn, Afton.Wyoming; !.'
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314587
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This is a true certification of the document on file In the office of Vital
Records Serv1pes, .ç:heyenne, Wyoming,,:
DATE ISSUED:
:::,'
August 1 0,~Ö06
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.Thi~ ,coPY'.~s nOl:.v81id·~.nles~:prepared ~~1-'pl:tp:er "Y:~th ·a~.,engr~tycttbor~., .;::.