HomeMy WebLinkAbout946245
I
6010817401
STATE OF WYOMING )
)
COUNTY OF LINCOLN )
SS.
RECEIVED 3/31/2009 at 3:19 PM
RECEIVING # 946245
BOOK: 719 PAGE: 251
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00&25:1
AFFIDAVIT OF DEATH
I, Marv L. Gardner, being of lawful age and first duly sworn according to law, upon
my oath, depose and state:
1. That I am of adult age, a resident of Afton, Wyoming, and the Affiant
herein.
2. That said Eleanor Mae Corsi on the 14th day of January, 2000, died and
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".
3. That by reason of death of said Eleanor Mae Corsi and by reason of 2-9-
102 W.S. (1980), the decedent's interest and title in said conveyance has
terminated and title to the Certificate of Title for Motor Vehicle for the
1978 Chickasha Trailer Caravan 16' X 85' - VIN #4205W conveyed
thereby was vested absolutely in Glenn L. Corsi and Eleanor Mae Corsi
as of the 9th day of May, 1978, continuously since the death of the said
decedent.
FURTHER AFFIANT SAYETH NOT.
Dated
O/l~. /.2 - ¿Yð C/
¿>
7?¡ ~ ~ fY-d~
Mar L. Gardn
v
State of Wyoming)
)ss.
County of Lincoln)
The foregoing instrument was subscribed and sworn to me by Mary L.
Gardner this 12.~ day of January, 2009
Witness my hand and official seal.
My Commission Expires:
~--
LAVNA li.IIDERLlE . NOTARY PUBLIC
Slate of
Wyoming
My Commission Expires February 26, 2012 ' '
COl/llty of
lincoln
\
This is a true and exact reproduction of the document on file in
the offiçe of Vital, Records Services, Cheyenne, Wyoming.
(
Date Issued:
DEC 1 9 2008
Gladys K. Breeden
Deputy State Registrar
--D.!5.3 8 2
dt/
This copy is not valid unless it bears a raised seal and is produced on
multicolored.security paper. 00Û1252\
/
---
atATI or WYo.m
DIIWI'ßtIBIT or HEALTH
CERTIFICATE OF DEATH
2000-000143
-....-
ELEANOR.
MAE
CORSI
I.. :a.
FEMALE JANUARY 14, 2000
.,
-
., .... ~
JUNii. 12, 1925
'"',
IIIIATH
111.
LINCOLN
a ._
wYONIIIG
It.
,...., .. ., ....
,a. ..
NO
HOMEMAKER
II.
LINCOLN
GROVER
110
I"
, ~":'L-=
...II .. c ,...."
WHITE
..
ROSE
CRAWFORD
VILLARD
GLENN CORSI
83122
WYOMING
10& ~ 1m' G1110WII 'j
IDAHO FALLS, IDAHO
...
...---............--
........ -..., ,þo .
~
ì
¡
:~
.,
-Ii
'"
..
iN.
It,
II
. I
110 HOSPITAL LANE
AFTON .
wyOMING 83110
,/-/'_tJ'YJ
-
:_.:ra..
I
I
,
I
I
I
I
.
I
,
I
I
I
,',
.~
~ÅMUJ'
/ ~t:~#
Yo !"t.'..",
"1.'1,;
~:ry.'·:' ','
rf·'.;~
, ............:..-.:
. .-............
~~.;ø~'.~=
,.",',.~-'...' , "
....' -
/i,:....II!~~ '
"10.
"1DØtaAaal_7~0P):
..
_1'O....A..
.. 011):
D=-
D==
_IWI
-
tIIIioofr.......
.......
NO
--
'\
....
.,
, .