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6010817173
AFFIDA VIT
00\1600
I, Noel N. Nelson, being first duly sworn upon my oath depose and state as follows;
1. That I am a joint Trustee named in the Nelson Family Trust dated July I, 2002,
2. That on May 15, 2003 in Book 520PR on page 660 of records of Lincoln County Clerk was recorded
a Quitclaim Deed from Noel N. Nelson and Janette Nelson, Husband and Wife, to Noel N, Nelson
and Janette Nelson, Trustees of the Nelson Family Trust dated July I, 2002 as Joint Trustees of the
Nelson Family Trust conveying the following described land:
Lot 18 of Fertile Acres Subdivision, Lincoln County, Wyoming as described on the plat filed October
27, 1981 as Instrument No, 567608 of the records of the Lincoln County Clerk.
3. That on May 15, 2003 in Book 520PR on page 659 of records of Lincoln County Clerk was recorded
a Quitclaim Deed from Noel N. Nelson and Janette Nelson, Husband and Wife, to Noel N. Nelson
and Janette Nelson, Trustees of the Nelson Family Trust dated July I, 2002 as Joint Trustees of the
Nelson Family Trust conveying the following described land:
Lot 16 of Fertile Acres Subdivision, Lincoln County, Wyoming as described on the plat filed October
27, 1981 as Instrument No. 567608 of the records of the Lincoln County Clerk.
4. Janette Nelson died on March 20, 2007. According to the terms of the Trust, successor trustee is Noel
N. Nelson.
Attached is a copy of the original certificate of death, certified to as true an correct by public authority in
which the original of said certificate is a matter of record, is attached hereto as Exhibit "A".
Dated this \ ~ day of October, 2008.
~~-1·,rl~
Noel N. Nelson
State of Wyoming
County of Lincoln
I, Noel N. Nelson, do solemnly swear that I have read the foregoing Affidavit subscribed by me; that I know
the contents thereof and verily believe the statements therein contained are true.
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Noel N. Nelson
The foregoing instrument was acknowledged before me by Noel N. Nelson this l~ day of October,
2008.
Witness my hand and official seal.
No ary Pu ic _.....__.,.N~
'-:;;'1Í"ARY PUBLIC
EVRY TAYLOR. . ~ Sìp"E OF
COUNTY OF e WYOMING
LlNCOU~ '\
., PIRES MÞ.Y 30, 2010
M~~; ,
My Comm;ss;on Exphe" ß~ 301 ZffJ ¿J
RECEIVED 10/23/2008 at 3:49 PM
RECEIVING # 943120
BOOK: 101 PAGE: 600
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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STÄTEOF Vv"6M1NG
ÒErÁ~T~ENT OF~EALTH}
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DEATH CERTIFICATE.
(.~0601.
Decedent:
Name:
Gender:
Date of Birth:
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i StãteFiI~ïNrimber: 2Ö07 -001079
........... Soci9lSeGuri~y NUl)1b~r: - .... . ..
Age at!h~ l¡jm~ of DE~at~: 56 years
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Janette Nelson
,Female·....·,....·..
January 28,1951
Date .and Place of peath: ..... ......
Date of Death: Märch 2Q, 20Q7····
City of Death: Bedford ...... .
þôyntyofb~~th: L.il1coln
Add itionalDecedel1tlnformatic;m :.'
Place of Birth: .Jack$onvillè~Flofjda
Residence: ··Bedford, Wybming"/
Marital;8tatus: Married·
Name of Father:E\Hot WÇjÒlley'\ ..) ,. ...
Maiden Name of Mo'ther: VivianMiHer:·
Informant Noel Norman Nelson
. NameofSllrvivingSpQuse: Noel Norman Nelson
.. -. .. . .... ..
..... .' ...
.. ) ........ /'" .. .....
Relationship: Husband
Interval:
.. 2 Months
2 Mon~hs
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Disposition: ..
Method· of Disposition:
Place of Disposition:
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Rerrtova(from·. Statè/
Eagle~?ck Crematory, IdaroF~lIs,l[)
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Calise of Death::.......".·,... ........' ('.'.. .......( . ................:....../
The immediate.cause is listed on thf;J firstJinefollowed byanyunderlying causes.
~g~ ~d~~~~~~~ncitháofStomâch.. ;'.. ,.1."\)' .'i'
Other Significant Conditions: Not RÊ!corded .... .... ..... / /
Manner of Death: Natural Death
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Certifier:
Name:
. ~ddre.ss:
Date Filed:
,Scott Benn~tt, D,O. / ..... ......
.'·11 OþlOspit~.ILn ,Aftpn,WYÞriii.ng
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This Is a true certification of the document on file In the office of Vital
Records Services. Cheyenne. Wyoming,.
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DATE ISSUED: April 23,20Ör.