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Affidavit of to the Public
COûOS7
I, Claire A. Sternberg, being of lawful age and duly sworn according to
law, upon my oath, depose and state:
That under the date of July 13, 1981, for valuable consideration, John D.
Snively and Jacqueline aka Jacklyn Snively, husband and wife, by deed of that
date, which deed was duly filed of record in the Office of the Lincoln County
Clerk, on July 20, 1981, in Book 178PR, Page 671, conveyed to Richard E.
Sternberg and Claire A. Sternberg, husband and wife, as joint tenants with full
rights of survivorship, the following described land, to-wit:
Lots Thirty-One (31) and Thirty-Two (32) of Block No.6 of the Townsite of Tulsa,
now LaBarge, Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Richard E.
Sternberg and Claire A. Sternberg, 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 Richard E. Sternberg, also known as
Richard Eugene Sternberg, on the 22nd day of August, 2008. That by reason of
and upon the death of Richard E. Sternberg, title to the above described real
property vested in Claire A. Sternberg.
Affiant avers and certifies that Richard E. Sternberg, also known as
Richard Eugene Sternberg, is the identical party named with Claire A. Sternberg
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 _Ib~ day of '5i;'Vr~2008.
~(tl
State of Wyoming )
) ss.
County of Lincoln )
Subscribed and sworn to before me, a notary public in and for said County
and State, by Claire A. Sternberg, this Ll~ day of ~, 2008.
~JiI~O~A
. Notary Public
Iq t ?eLD
RECEIVED 9/16/2008 at 3:56 PM
RECEIVING # 942304
BOOK: 705 PAGE: 87
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Till. Oocu"""t I. be" IWCOI'ded Þy
Rocky MountaIn Tlttel""'__ Agency
of LIMoIn c...,.. COUIn'Uv only
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STATE' OF WYOMING·
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iDEPARTMElIlT OF HEALTH\
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DEATH CERTIFICATE
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/ Ståtel=ili'Nðmber: 2008-602477
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Decedent: ..
Name:
j3ender: ....
Date of Birth:
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Date and Place of Death: .
g$eb~fó~~1~~:t~~~srbî~,2qe~:~~t,~~ .·.·..'..· .,;.... .". :e.~~?~ofbê,fth: ~,incoI9
Location: [)ecedE!9t's hC>.~e,
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AdditionaLDecedentlnformation;) ..i.·<> \
Place -of"Birth:" ::'Unknbwn;- Ohio" " .....,_/......;... ;-V~: ¡<:':;'" ":"'\',:::::.:¿.;;,..}." ....
Residence:LaBarg~IWyoming . .. ... ........ ......... ..... ...
Marital Status:. 'Married...·.·....' ";:Nal1ÏrÇ)f~~tviJiqg $p'bpse: g ~jref':¥cCanlJ .."
Armed Forces:y¡;tS . .......,.,.......... . ....."..... ...?'. ....
Na~e of Father: ..HarJY. Paul Sternberg.. .'
.... Malden NarT)~,OfN1othE!r:·..Kathryq:··.B~rtf1019rT)E!W..
Informant: / . ..\OlaiteA StEi)rríÞE!rg ;( ....... .(\
Richard Eugene Sternberg
Male \ ...... ..,.,..;' Soci~l$ec~rity Nur::rbE!r:,~ . __ ., .
JÜly~8, 1927 .... 6'ge at thE! Tim, of Deatq: 81 YE!§lrs
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Disposition:
Methodof[¡)ispos ítiot:):
Plåce ofDispqêitiqn:)
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Cause of Death: ___
Th(j immediatØ cati'se is 1ístedo'rth~ fírstJinefóllOW~dbYähy LJ~de~ly¡qg caus~s.i
~{h~;S~~r,rJ~~~~u¿a6~~:f¡~~~~Þr~~f~te...èancer.cor¿~a~A~e&'bi~e~se·· .\... ..,
Certifier:
Name:
Address:,
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f¡ìTIeo1''Qe~th;>ÛÒ'k~6wn
Interval:
2 months
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. Manner of Death: "Natur,é3iDéåt,r·'
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. .Date Filed:.