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AFFIDAVIT OF DEATH
State of WYOMING }
County of WYOMING }
ROGER R. V ANDERMUSS, being first duly sworn, on HIS oath, deposes and says:
000875
That HE is a resident of the City of COKEVILLE, County of LINCOLN, State of WYOMING and is competent to make
this affidavit;
That HE is the surviving son of FERN V ANDERMUSS, deceased, that affiant owns certain real estate property in
which FERN V ANDERMUSS is named as reserving a life estate in certain deeds recorded AUGUST 20, 1985 as
Instrument No. 641739, records of LINCOLN COUNTY, WYOMING,
That FERN VANDERMUSS died 3eçt q-j-lqCiCl , possessed of a LIFE ESTATE interest in the
described real property:
See Attached Exhibit "A"
RECEIVED 12/21/2007 at 3:38 PM
RECEIVING # 935764
BOOK: 681 PAGE: 875
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
;\hat ROGER R. V ANDERMUSS, knows of HIS own knowledge that FERN V ANDERMUSS died
. . - . _ q c¡c¡g , and is named as a deceased person in a death certificate issued by the State of
WY MING, which is filed in the State of WYOMING;
14
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*;?~ V_.~
, ER R, V ANDERMUSS,
State of WYOMING }
County of LINCOLN } ss:
On December 18,2007, personally appeared before me ROGER R. V ANDERMUSS, the signer(s) of the within
instrument, who duly aCknowle~ccuted the same.
Pbl' MJ
otary U IC
Resi,des: W\\QD( Vl Colt vrh Á
ExpIres: g/2J I/o · " I "J
LeANN BROADHEAD. NOTARY PUBUO
County of ~,' 'Slate r
Lincoln ., Wyoming
Commllllon expires Sept. 21, 2010
ORDER NUMBER: NTL-1707
EXHIBIT "A"
BEGINNING AT CORNER NO.1, A POINT WHICH IS WEST A DISTANCE OF 254 FEET FROM CORNER NO.1 OF TRACT
NO. 85, SECTION SIX (6), TOWNSHIP TWENTY-FOUR (24) NORTH, RANGE ONE HUNDRED NINETEEN (119) WEST OF
THE SIXTH PRINCIPAL MERIDIAN, WYOMING,
THENCE IN A SOUTHEASTERLY DIRECTION A DISTANCE OF 149 FEET TO CORNER NO.2;
THENCE SOUTH A DISTANCE OF 196 FEET TO CORNER NO.3;
THENCE SOUTH 81°40' WEST, A DISTANCE OF 546.5 FEET TO CORNER NO.4; 000876
THENCE SOUTH 59°31' WEST, A DISTANCE OF 26 FEET TO CORNER NO.5;
THENCE SOUTH 81 °40' WEST, A DISTANCE OF 340 FEET TO CORNER NO.6;
THENCE NORTH 1°15' WEST, A DISTANCE OF 461 FEET TO CORNER NO.7;
THENCE EAST A DISTANCE OF 856 FEET TO CORNER NO.1, TO A PLACE OF BEGINNING