HomeMy WebLinkAbout950998AFFIDAVIT OF SURVIVORSHIP
FRANK ABRIANI, being first duly sworn upon his oath, deposes and states as follows:
1. On the 15th day of September, 2007, my wife, LELA IRENE ABRIANI, a/k/a IRENE
ABRIANI, died, as is evidenced by the official certificate of death attached hereto and incorporated
herein by this reference.
2. At the time of her death my wife jointly owned an undivided one -half (1/2) interest in and
to certain real property with me, said real property being located in the County of Lincoln, State of
Wyoming, and more particularly described as follows:
Lot Number Twenty -four (24) in Kemmerer Industrial Park #1, to the Town of
Kemmerer, Lincoln County, Wyoming.
3. Said real property was originally conveyed to FELIX G. ABRIANI and ROSEMARY
ABRIANI, husband and wife, and FRANK ABRIANI and IRENE ABRIANI, husband and wife, by
Warranty Deed dated May 14, 1981, and recorded in the Office of the Lincoln County Clerk and Ex-
Officio Register of Deeds on May 18, 1981, in Book 176PR at Page 414.
4. By reason of my wife's death, I am entitled to sole ownership of an undivided one -half
(1/2) interest in and to the above-mentioned real property.
DATED this 7 day of December, 2009.
FRANK ABRIANI
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RECEIVED 12/10/2009 at 9:51 AM
RECEIVING 950998
BOOK: 737 PAGE: 778
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
THE STATE OF WYOMING
ss.
COUNTY OF LINCOLN
SUBSCRIBED AND SWORN to and acknowledged before me this
r✓ c e w. �a 2009, by FRANK ABRIANI.
WITNESS my hand and official seal.
My Commission Expires:
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Paula M. Cowl Notary Public
County of s., r State of
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DEPARTMENT OF HEALTH
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DEATH CERTIFICATE I C.Ou ?80
Decedent: State File Number: 2007- 002838
Name: Lela Irene Abriani
Gender: Female Social Security Number:
Date of Birth: March 26, 1922 Age at the Time of Death: 85 years
Date and Place of Death:
Date of Death: September 15, 2007 County of Death: Lincoln
City of Death: Kemmerer
Additional Decedent Information:
Place of Birth: New Mexico
Residence: Kemmerer, Wyoming
Marital Status: Married Name of Surviving Spouse: Frank A. Abriani
Name: of Father Henry Thomas
Maideln Name of Mother Edith Johnson:
Informant: Frank A. Abriani Relationship: Husband
Disposition:
Method of Disposition: Burial
Place of Disposition: Kemmerer Cemetery, Kemmerer, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes.
(a) Metastatic Cancer of Unknown Type
Other Significant Conditions: Not Recorded
Certifier:
Name: Chris Krell, M.D.
Address: 711 Onyx, Kemmerer, Wyoming
Date Filed: September 21, 2007
This is a true certification of the document on file in the office of Vital
Records Services, Cheyenne, Wyoming.;,
This copy is not valid unless prepared on, paper with an engraved border.
Time of Death: 04 :30
October 02, 2007 Gladys K. Breeden
DATE ISSUED: Deputy State Registrar
Interval:
1 Month
9
CERTIFICATION OF VITAL RECORD
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