HomeMy WebLinkAbout957176AFFIDAVIT REGARDING DEATH OF MARTA L. GUNTER
THE STATE OF WYOMING
ss.
COUNTY OF LINCOLN
RECEIVED 12/16/2010 at 12:31 PM
RECEIVING 957176
BOOK: 758 PAGE: 776
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000'776
Sandra Dee Sellers, being first duly sworn upon her oath, deposes and states as follows:
1. On or about the 18th day of June, 2010, Marta L. Gunter 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, Marta L. Gunter owned certain real property located in the
County of Lincoln, State of Wyoming, and which is more particularly described as follows:
Lots 1 and 2 of Block 6 of the Willow Addition to the Town of Kemmerer, Lincoln
County, Wyoming as described on the official plat thereof
LESS AND EXCEPT a parcel of land being a portion of Lot 2 of Block 6 of the
Willow Addition to the Town of Kemmerer, Lincoln County, Wyoming as described
on the official plat no. 196 of the records of the Lincoln County Clerk; and being more
particularly described as follows:
COMMENCING at the southeast corner of said Lot 2; thence N 04 °38' E, along the
easterly boundary line of said Lot 2, a distance of 73.4 feet to the POINT OF
BEGINNING of this description;
thence continuing N 04 °38' E, along said easterly boundary of said lot 2, a distance of
66.6 feet to the northeast corner of said Lot 2;
thence N 85 °22' W, along the northerly boundary line of said Lot 2, a distance of 3.35
feet;
thence S 4 °29'24" W, along the center partition wall of a garage and then along a
north -south running fence line separating the driveway, a distance of 69.56 feet;
thence N 51°42' E, a distance of 4.34 feet to the POINT OF BEGINNING
ALSO, a parcel of land being a portion of Lot 2 of Block 6 of the Willow Addition to
the Town of Kemmerer, Lincoln County, Wyoming as described on the official plat
no. 196 of the records of the Lincoln County Clerk; and being more particularly
described as follows:
BEGINNING at the southeast corner of said Lot 2, where is found a 5/8" diameter
rebar with aluminum CCI survey cap;
thence N 04 °38' E, along the east boundary of said Lot 2, a distance of 73.4 feet;
3. This Affidavit is filed for the purpose of establishing the fact of the death of said Marta L.
Gunter and to make an official record of the termination of interest of said decedent in and to the
above described real property.
thence S 51°42' W, a distance of 4.34 feet to a point on a north -south fence line;
thence S 4 °29'24" W, along said north -South fence line a distance of 70.45 feet to a
point on the southerly boundary line of said Lot 2;
thence S 85 °22' E, along said southerly boundary line of said Lot 2, a distance of 3.0
feet to the POINT OF BEGINNING
DATED this t day of L� e[ -e-m�e( 2010.
SUBSCRIBED AND SWORN to and acknowledged before me this I day of
2010, by SANDRA DEE SELLERS.
WITNESS my hand and official seal.
My Commission Expires:
T
2
f3J0
SANDRA DEE SELLERS
004)7 7
Disposition:
Method of Disposition: Burial
'Place of Disposition: South Lincoln Cemetery, Kemmerer, Wyoming
Funeral Home or Facility:
Facility: Ball Family Chapel, Evanston, Wyoming
Cause of Death: y
The immediate cause is listed on the first line followed by any underlying causes.
(a) Cardio Pulmonary Failure
(b) COPD
Other Significant
Conditions:
Manner of Death:'
Certifier:
Type: Physician
Name: Vincent Hinshaw, DO
Address: PO Box 390, Kemmerer, Wyoming, 83101
Date Filed: June 22, 2010
CERTIFICATION OF VITAL RECORD
Time of Death:
STATE OF WYOMING
DEPARTMENT OF HEALTH 8
CERTIFICATE. OF ,DEATH
Decedent: State File Number: 201 1812
Name: Marta L. Gunter
Gender: Female Social Security Number
I
Date of Birth: July 07, 1925 Age at the Time of Death: 84 years
Date and Place of Death:
Date of Death: June 18, 2010 ;r County of Death: Lincoln
City of Death: Kemmerer
Location: South Lincoln Nursing Center 711 St
Additional Decedent Information:
Place of Birth: Laketown, Utah
Residence: Kemmerer Wyomt1g
Marital Status: Widowed
Armed Forces: No
Name of Father Martin Henderson
Name of Mother Elva Smith
Informant: Sandy Sellers Relationship: Daughter
04:20 (Actual)
Gladys K. Breeden
Deputy State Registrar
47047'
1i
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming,
DATE ISSUED: Tuesday, June :29, 20:10
il1L
rr g This copy is not valid unless prepared on paper with .an engraved, border.
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