HomeMy WebLinkAbout949971RECEIVED 10/9/2009 at 2:36 PM
62749-df RECEIVING # 949971
BOOK: 733 PAGE: 553
Hickman JEANNE WAGNER
LandTtleCo LINCOLN COUNTY CLERK, KEMMERER, WY
SINCE 1904
C Gi 553
AFFIDAVIT
I, MARIE A. EDGERTON, being first duly sworn on oath, depose and say:
That I am a citizen of the United States of America over the age of 21 years, and a
resident of LINCOLN County.
That I was well and personally acquainted with WILLIAM D. EDGERTON in that
certain Warranty Deed dated October 8, 1998 and recorded in Book 420, at Page 356, as Filing
No. 0854422, in the office of the Recorder of Lincoln County, Wyoming.
That I know of my own knowledge that in the said deed and mentioned in the attached
Certified Copy of Certificate of Death was one and the same person.
This affidavit is intended to terminate the Joint Tenancy of WILLIAM D. EDGERTON in the following
described property:
BEGINNING at the Northeast corner of Lot One (1) in Block Twenty-Three (23), Town of Afton,
Lincoln County, Wyoming, and running thence West 5 rods; thence South 10 rods; thence East 5 rods;
thence North 10 rods, to the point of beginning.
also known by street and number as: 394 East 4TH Ave., Afton, WY 83110
Tax Roll No. 32183040606600
Dated this 5TH day of October, 2009
MARIE A. EDGERTON
62749-df
C-40x554
INDIVIDUAL ACKNOWLEDGMENT
STATE OF WYOMING
SS
County of LINCOLN
On the 5 day of October 2009 personally appeared before me MARIE A. EDGERTON the signer
of the within instrument, who duly acknowledged to me that she executed the same.
Commission expires: l0/11/2011
Residing in: Lincoln County D. FENTON/Notary Public
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STATE OF WYOMING
DEPARTMENT'OF,:FH AU .
,.DEATH' CERTIFICATE ? 555
Decedent: State Fife Number: 2007-000564
Name: William Denning Edgerton
GenderMale Social Secure Number;
e
Date of Birth: August 25, 1,932 Age at the Tim
of Death` 74 years
Date and Place of Death:
Date' of Death: ;February 20, 20Q7 County of Death Lincoln
City of Death: Afton
Additional. Decedent Information:
?Place: of Birth: Turnerville, Wyoming
Residence: Afton, Wyoming
Marital Status: Married Name of Surviving Spouse: Marie Ann Walton
Name of Father: William John,Edgerton
Maiden Name of Mother: Grace Hortence Turner
Informant: Marie Ann Edgerton Relationship: Wife
Disposition:
Method of Disposition: Burial
Place of Disposition: Afton Cemetery, Afton, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes. Interval:
a Respiratory Arrest Not Recorded
b~ Pulmonary Embolus
~
Other` Significant Conditions: Not Recorded
_ Manner of Death: Natural Death Time of Death: 10:00
Certifier:
Name: Noel Q. Stibor, M.D.
Address: PO Box 280, Afton, Wyoming'
Date Filed: February 22, 2007
14
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3375,42
tl This is a true certification of the document on file in the office of Vital
Records Services, Cheyenne,. Wyoming
i
March 30, 2007 Brent D. Sherard; M.D., M.P.H 9
DATE ISSUED: - Director and State Health Officer
Z 0order
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:This copy is not valid upless..PrePaced onPaPer wttb an enb!nr,