HomeMy WebLinkAbout954267I, NORMA J. TINGEY, being duly sworn under oath, state as follows:
1. That I, Norma J. Tingey, the surviving spouse of John R. Tingey, hereby certify
that John R. Tingey died on May 25, 2007. Attached hereto is an original copy of the Certificate
of Death issued for John R. Tingey.
2. That John R. Tingey had tenancy by the entireties with me in land in Lincoln
County, Wyoming, more particularly described as follows:
See the attached Warranty Deed creating the tenancy by the entireties that was
recorded in the Lincoln County, Wyoming, land records in Book 294 PR at Pages 600
and 601 on March 14, 1991 as Instrument No. 729732.
3. That pursuant to Wyoming Statutes 2 -9 -102, I certify that the tenancy of John
R. Tingey has been terminated by his death, and that title to the above referenced land is now in
the name of Norma J. Tingey, a single woman.
DATED this 2, of u n/L 2010.
SS.
COUNTY OF SALT LAKE)
STATE OF UTAH
SUBSCRIBED AND SWORN TO before me by NORMA J. TINGEY this 029 day
of I 2010.
WITNESS my hand and official seal.
My Commission expires: (St
AFFIDAVIT OF SURVIVORSHIP
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Notary Public
TINA YANCEY
Commission #579015
My Commission Expires
June 1, 2013
State of Utah
NOTARY PU IC
000223
RECEIVED 7/7/2010 at 10:47 AM
RECEIVING 954267
BOOK: 750 PAGE: 223
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
CERTIFICATION OF VITAL RECORD
DECEDENT INFORMATION
Date of Death: May 25, 2007
City of Death:
Age:
Place of Birth:
Armed Services:
Spouse's Name:
Industry/Business:
Residence:
Mother's Name:
Facility or Address:
South Jordan
73
Brigham City, Utah
No
Norma Ellis
Kennecott Copper
South Jordan, Utah
Alice Petersen
10129 South 3345 West
CAUSE OF DEATH
Respiratory Failure
Tobacco Use: Did not Contribute
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INFORMANT INFORMATION
Name: Norma Tingey Relationship:
Mailing Address: 10129 South 3345 West, South Jordan, Utah 84095
DISPOSITION INFORMATION
Method of Disposition: Burial
p
Place of Disposition: Larkin Sunset G ardens, Sapdy, Utah
FUNERAL, HOME INFORMATION
Funeral Home: Larkin Sunset Gardens
Address: 1950 East 10600 South, Sandy, Utah 84092
Funeral Director: Dieter R Hechtle
MEDICAL CERTIFICATION
Certifying Physician: Stephen Miller, 5292 South College Drive #201, Murray, Utah 84123
Medical Examiner Contacted: No Autopsy Performed: No Manner of Death: Natural
CERTIFICATE OF DEATH
State File Number: 2007006047
Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
Father's Name:
Facility Type:
Date of Disposition: June 2, 2007
19:05
Salt Lake
January 24, 1934
Male
Married
Diesel Mechanic
School or GED
Ronald Tingey
Home
This is an exact reproduction of the document registered in the State Office of Vital Statistics.
Security features of this official document include: Intaglio Border, V R images in top cycloids,
ultra violet fibers and hologram image of a hawk over the word valid. This document displays the
date, seal and signature of the State Registrar and the County /District Health Officer.
Updated Utah State Seal rep aces hawk over valid for authenticity.
000022
Gar,- Edwards
Director /Health Officer
County /District Health Department
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yl 4 Barry E. Nangle, State Registrar
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$6.00
WARRANTY DEED
Craig D. Evans and Mary Ann M. Evans, husband and wife, grantors, of Montpelier,
Bear Lake County, Idaho, for and in consideration of Ten and No/ 100 Dollars ($10.00), and other
valuable considerations, in hand paid, receipt whereof is hereby acknowledged, CONVEY AND
WARRANT to John R. Tingey and Norma J. Tingey, husband and wife, by the entireties,
grantees, of South Jordan, Salt Lake County, Utah (mailing address: 10129 South 3345 West,
South Jordan, UT 84065) the following described real estate, situate in Lincoln County, and State
of Wyoming, hereby releasing and waiving all rights under and by virtue of the homestead
exemption laws of the State, to -wit:
A portion of the SE 1/4 of the SE 1/4 of Section 8, T 34 N, R 118 W, 6th
Principal Meridian, located Northeasterly of Thayne, Lincoln County, Wyoming,
being more particularly described as follows:
BEGINNING at an iron pipe set 625.99 feet S 89 °25'28 "W and 889.17 feet N
1°08"15" E of the Southeast corner of said Section 8; thence running West
584.72 feet to an iron pipe set; thence North 371.63 feet to an iron pipe set;
thence East 592.10 feet to an iron pipe set; thence 5 1°08'15" W 371.70 to the
Point of BEGINNING, Containing 5.020 Acres of land.
TOGETHER WITH 5.0..acres of Lost Creek Irrigation water rights and domestic
water rights from the Lost Creek Water System and any and all other water rights
associated with the described real property.
SUBJECT TO all easements, exceptions, restrictions, reservations and rights of
way of sight or record;
WITNESS our hands as of this 12th day of January, 1987.
nECCRDED ...arcb.. 199.1 9 1 1 (j�? Q :.t :R, MO.
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NO
Craig D. Evans
4 1 1. ri
Mary Ann M. Evans
601
STATE OF IDAHO
.ss.
COUNTY OF BEAR LAKE
The foregoing Warranty Deed was acknowledged before me by Craig D. Evens and MarijAnnn �'1 o
M. Evans, husband and wife, this /fin` day of January, 1987. q
Witness my hand and official seal.
My commission expires.
NOTARY(,PUBLIC
000226
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