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STATE OF WYOMING
COUNTY OF LINCOLN
SS.
AFFIDAVIT TERMINATING ESTATE
I, Barbara Lea Buttler, 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 Coal Township, Pennsylvania, and
the AMant herein.
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2. That by virtue of the conveyance which is recorded in the office of the
County Clerk for Lincoln County, Wyoming, located at Kemmerer,
Wyoming in Book 491PR on page 551 is recorded a Warranty Deed. The
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Warranty Deed, dated the 6th day of June, 2002 conveys unto Adis
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Avant Battler and Barbara Lea Battler, Husband and Wife as Tenants
by the Entireties, the following described property, to-wit:
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Part of Lot i of Block 11 of the Afton Townsite, Lincoln County,
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Wyoming being more particularly described as follows:
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Beginning at a point 10 rods West of the Northeast corner of said Lot 1
and running thence West 6 rods; thence South 10 rods; thence East 6
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rods; thence North 10 rods to the point of beginning.
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3. That said Arlis Avant Buttler on the
day of 4 Ai`t a r \j
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ZO 09, died and a copy of the original certificate of death, certified to as
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true an correct by public authority in which the original of said certificate
is a matter of record, is attached hereto as Exhibit "B".
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4. That by reason of death of said Arlis Avant Battier by reason of 2-9-102
W.S. (1980), the decedents interest and title in said conveyance has
terminated and title to the real property conveyed thereby has vested
absolutely in Barbara Lea Butder continuously since the death of the
said decedent.
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FURTHER AFFIANT SAYETH NOT.
Dated ^ 13 pT c}
State of Pennsylvania )
)ss.
County of ~b 4 om 64 LAP
Barbara Lea Buttler
The foregoing instrument was subscribed and sworn to we by Barbara Lea
Battler this 1 ':4 day of April, 2009
Witness my hand and official seal.
R)121 T117)
Notary Public
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My Commission Expires: 2--
OTARIAL SEA
DEBORAH A YEAGER
Notary Public
rSHAMOK,,N CITY, NORTHUMBERLAND COUNTY
y Commission Expires Feb 24. 2011
STATE OF
WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
Decendent:
State File Number: 2009-000159
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Name: Arlis Avant Buttler
Gender:, Male:'
Social Security Number:
Date of Birth:" October 10, 1941
Age at the Time of Death: 57 years
Date and Place of Death: -
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Date of Death: January !24, 2009,..
County of Death:' Lincoln
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City of Death: Afton
Location: ; . Star Valley Medical Center-
Additional Mcedent] for
Place of Birth: ..,Uvalde, Texas
Residertoe:' Afton; V1IY
Marital Status: Marrled ::::Barbara Lea Cozad
Armed Forces: No
)Name of Father:. Grover Buttler ,
Name of Mother: Agnes Avant
Informant: Barbara Lea Buttler
Relationship: Wife
Disposition:
Method of Disposition Cremation
Place of Disposition: Eagle Rock Crematory, Idaho Falls,
Idaho
Funeral Home or Facility:
Facility:
Schwab Mortuary, Afton, VVY
Cause of Death:
The immediate>cause is listed on the first Itne followed by any unde
rlying causes. Interval:
(a) Acute`Myocardial Infarction
Hours
Other Significant
Conditons:.
Manner of Death: Natural Death
Time of Death: 20:13 (Actual),.
Certifier: `
TYPe? Physician
Name: Noel B'Stibor, M.D.
Address: January 27, 2009
Date Filed: 11/27/2009
405091
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t4 This is a true certification of the document on file in the office of Vital
Records Services Cheyenne. Wyoming.
' Montla 30 2009
C?
ATE ISSUED: y, March ,
Gladys K. Breeden
istrar
Deputy State Re
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1 This copy is not valid unless prepared on paper with an engraved border.
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