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HomeMy WebLinkAbout937269 KI::l;I::IVING # 937269 BOOK: 688 PAGE: 245 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY AFFIDAVIT OF SURVIVORSIDP STATE OF WYOMING ) ) ss. ) ûOi)24S COUNTY OF LINCOLN I, EMMA LYLE BOEHME, also known as LYLE BOEHME, being oflega1 age and first duly sworn, deposes and says as follows: 1. That Heber John Boehme, the decedent mentioned in the attached certified copy of the certificate of death, is the same person as Heber J. Boehme named as one of the parties in that certain Warranty Deed dated March 7, 1964, executed by Amanda Herzog, a widow to Heber J. Boehme and Emma Lyle Boehme, husband and wife, recorded as Instrument Number 381288, on March 10,1964, in , £1 ¡ <¡ Book 64PR at Page 533, of the Official Records of Lincoln County, State of Wyoming, concerning the real property situated in the County of Lincoln, State of Wyoming and described as follows: North Half of the Northeast Quarter (NYzNE\/'¡), Southeast Quarter of the Northeast Quarter (SE\/.¡NE\/.¡) and Lot One (1) of Section Thirty-Six (36), Township 27 North, Range 120 West of the Sixth Principal Meridian, Lincoln County, Wyoming and containing 157.00 acres. 2. That Heber John Boehme, the decedent mentioned in the attached certified copy of the certificate of death, is the same person as Heber J. Boehme named as one of the parties in that certain Warranty '-J 'l '¡ () i t Deed with Release of Homestead dated September 11, 1957, executed by John H. Boehme and Gertrude H. Boehme, husband and wife to Heber J. Boehme and Lyle Boehme, husband and wife, by the entireties, recorded as Instrument Number 332419, on January 19, 1958, in Book 26PR at Page 101, of the Official Records of Lincoln County, State of Wyoming, concerning the real property situated in th e County of Lincoln, State of Wyoming and described as follows: The Southeast Quarter (SE\/'¡) of Section Thirteen (13) in Township Twenty-Six (26) North, Range One Hundred Twenty (120) West of the Sixth Principal Meridian, in Wyoming. Excepting therefrom the portion of said land now used and occupied by the Highway described as follows, to-wit: Beginning at the South Quarter-comer of said Section Thirteen (13), and running thence North 40.00 chains, along the mid-section line of said Section 13; thence East 1.43 chains along the East Quarter-section Line of said Section 13; thence South 0'37' 40 chains to the Southern Boundary of said Section 13; thence West 1.864 chains, to the place of beginning, containing 6.60 acres of land, more or less, as varies the survey thereof. Excepting therefrom the portion of said land commencing at the Southwest Comer of the Southeast Quarter said Section 13, and running thence North 40 feet; thence East 2640 feet; thence South 40 feet, to the Southeast comer of the SE\/.¡; thence East 2640 feet, along the Section Line, to the place of beginning. 3. That Heber John Boehme, the decedent mentioned in the attached certified copy of the certificate of death, is the same person as Heber J. Boehme named as one of the parties in those certain Quit Claim Deeds dated June 4, 1962, executed by Ruby Pedersen and Clarence Pedersen, her husband 000246 to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372892, on December 19,1962, in Book 57PR at Page 301, ofthe Official Records of Lincoln County, State of Wyoming; and dated June 4, 1962, executed by Elaine White and Orvil White, her husband to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372893, on December 19,1962, in Book 57PR at Page 303, of the Official Records of Lincoln County, State of Wyoming; and dated June 4, 1962, executed by Leonore Loertscher, a single woman to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372894, on December 19, 1962, in Book 57PR at Page 305, of the Official Records of Lincoln County, State of Wyoming; and dated June 4, 1962, executed by Elsie Hillier, a widow to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372895, on December 19, 1962, in Book 57PR at Page 307, of the Official Records of Lincoln County, State of Wyoming; and dated June 4, 1962, executed by Lucy Sanders and Glen Sanders, her husband to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Nun1ber 372896, on December 19, 1962, in Book 57PR at Page 309, of the Official Records of Lincoln County, State of Wyoming; and dated June 4, 1962, executed by Erma Martha Boehme, a single woman to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372897, on December 19, 1962, in Book 57PR at Page 311, of the Official Records of Lincoln County, State of Wyoming; and dated June 4, 1962, executed by Evelyn Poulsen and Calvin Poulsen, her husband to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372898, on December 19, 1962, in Book 57PR at Page 313, of the Official Records of Lincoln County, State of Wyoming; dated June 4, 1962, executed by Gertrude Barfus and J. Henry Barfus, her husband to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme 2 ùOð24? and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372899, on December 19, 1962, in Book 57PR at Page 315, of the Official Records of Lincoln County, State of Wyoming; dated June 4, 1962, executed by Gertrude H. Boehme, a widow to Walter W. Boehme and Afton Boehme, his wife, Heber J. Boehme and Lyle Boehme, his wife, Junior Boehme and Sarah Jane Boehme, his wife and Donald M. Boehme and Janet Boehme, his wife, recorded as Instrument Number 372900, on December 19, 1962, in Book 57PR at Page 317, of the Official Records of Lincoln County, State of Wyoming, all of which are concerning the real property situated in the County of Lincoln, State of Wyoming and described as follows: SEY4NEY4 of Section 1; Lot 4, SEY4NEY4 and SEY4 of Section 12; EY2 and Lots 1,2, 3 and 4 of Section 13; all in Township 27 North, Range 120 West of the Sixth Principal Meridian; NEY4SWY4, and SY2SWY4 of Section 6; WY2 of Section 7; and NEY4NWY4 of Section 18; all in Township 27 North, Range 119 West of the Sixth Principal Meridian; all of said lands being in Lincoln County, State of Wyoming. 4. That I am the same Emma Lyle Boehme, also known as Lyle Boehme mentioned in the above referenced Deeds and thereby am a person interested in the effective property or the title thereto and pursuant to § 2-9-102 W.S. (1980) hereby make the death a matter of record and certify that upon the death of Heber J. Boehme, his previous estate in the property was terminated. 5. That the certified copy of the certificate of death indicates that Heber J. Boehme died on May 30, 1999 in the Town of Geneva, State of Idaho. Dated this 82' 7 day of -1.~ .2008. ~~~~~~ EMMA LYE OEHM, a/k/a LYLE BOEHME STATE OF WYOMING ) ) ss. COUNTY OF LINCOLN ) of Subscribed and sworn to before me by Emma Lyle Boehme, a/k/a Lyle Boehme, this d 7 1:../1 day Ip.bnu. ft/lj( .2008. r:~..,. DEBRA A, HANSEN· NO. TARY PUBLIC COUNTY OF ',ë;"~ STrITE Of 'f LINCOLN . &;,1 WYO&~NG t . á..~;Oo ~ l~!;~~~~~ ;~~;s... -i~JiiÆJ.,;:J £)(JjACL (1. f/{J..JY\.Óvw NOTARY PUBLIC My Commission Expires: .Y.JY';; (J " 3 ""~~~\\\\\\"\II\'I ~ 1111" # III / ! <I ~ ~ ~ \ \ STATE OF IDAHO IDAHO DEPARTMENT OF HEALTH AND WELFARE BUREAU OF HEALTH POLICY AND VITAL STATISTICS JUNE 03, 1999 C.ERTIFICATE OF DEATH Slale File No. 1999-03758 I I ~ I I ~ I ~ ~ I I ~ ~ I ~ ~ J I , 4 ~ a I ~ i a I DECEDENT, Ni\ME AGE HEBER JOHN BOEHME 79 YEARS DATE OF DEATH SEX ," SOCIAL SECURl1Y NUMBER DATE OF BIRTH MAY 30, 1999 MALE WM DECEDENT EVER IN U,S, ARMED FORCES? YES MARRIED DEC. 03, IDAHO SURVIVING SFOUSE ~f Mi"', "",¡d.n fill",.) EMMA LYLE NEWBRAND GENEVA, IDAHO RESIDENCE STATE CI1Y, TOWN OR LOCATION IDAHO GENEVA FATHER, Ni\ME BIRTHPlACE JOHN HUGO BOEHME GERMANY MOTHER· FULL Ml\IDEN Ni\ME BIRTHPLACE GERTRUDE HELENA MARX GERMANY Ni\ME AND AODRESS OF MORTlJIIRY MATTHEWS MORTUARY, INC., MONTPELIER, IDAHO FUNERA.L SERviCE UCENSEE LEONARD H. MATTHEWS METHOD OF DISPOSITION TIME OF DEATH Ml\NNER OF DEATH " I BURIAL 9:55 A.M. NATURAL CAUSE OF DEATH lund.rlylng cau..la.Q a, Appr male nterv. lWeen ç¡n..land o.a'" IMMEDIATE ACUTE MYOCARDIAL INFARCTION DUE TO (or .. . consequence of); b.' i DUE TO (or a. a con.qulnce of): ç, DUE TO (or a. I conHqulnce of): d, OTHER SIGNIFICANT CO~DITIONS CONTRIBUTING TO DEATH but nol r....IUng In "'. und.rlylng cau.. glv.n abova NONE LISTED Ni\ME OF CERTIAER \ , "~; ~ ç, \: ;';'>'00 ., ~;'.i'" ._,', .', ,: .' .~_ tlq;w"."",*",":·' 'vl,-,.' ;., V,· \" , ~"7,Úf\(' ~\'\1 " ThiS is a true and correct reproduction of the document officially registered and placed on file with the IDAHO BUREAU OF HEALTH POLICY AND VITAL STATISTICS, DATE ISSUED: MA Y 18. 2005 ~~7~ JANE S, SMITH STATE REGISTRAR \ This copy nol valid unless prepared on engraved border displaying state seal and signature 01 the Registr¡¡r,