HomeMy WebLinkAbout957223STATE OF WYOMING
COUNTY OF LINCOLN
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RECEIVED 12/20/2010 at 4:02 PM
RECEIVING 957223
BOOK: 759 PAGE: 16
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT OF SURVIVORSHIP
Eva LaRue Bateman of PO Box 4123, Bedford, WY 83112, upon her oath deposes and
1. That HAROLD F. BATEMAN, the decedent mentioned in the attached copy of
Certificate of Death, is the same person as HAROLD F. BATEMAN named as one of the grantees
in that certain Quitclaim Deed dated the 17th day of December, 1997, executed by Frank H.
Bateman and Anna B. Bateman, husband and wife, grantors, and recorded January 12, 1998, in
Book 406 PR, page 420, of the Official Records of Lincoln County, Wyoming, covering the following
described real property located in Lincoln County, Wyoming, to -wit:
An undivided 1/2 interest in the following described real property:
A portion of the W1/2 of the SE1 /4 of Section 27, being also a portion of H.E.S. 170,
T34N, R118W, 6th P.M., East of Bedford, Lincoln County, Wyoming, and being
more particularly described as follows:
Beginning at a point in the Westerly line of said W1/2SE1/4, said point being Corner
#2 of said H.E.S. 170 and the Northwest Corner of said H.E.S. 170; thence
S89 °58'25 "E, along the North line of said H.E.S. 170, 1003.72 feet to a Brass Cap
monument found marking Corner #3 of said H.E.S.; thence S0 °09'03 "W, along one
of the East lines of said H.E.S., 924.41 feet to a Brass Cap monument found
marking Corner #4 of said H.E.S.; thence S89 °09'W, along a South line of said
H.E.S., 526.02 feet to an iron pipe set for Corner #5 of said H.E.S.; thence
continuing S90 °09'W, 472.09 feet to a point in said Westerly line of said W1/2SE1/4;
thence N0 °12'W, along last said Westerly line, 939.69 feet to the point of beginning,
containing 21.415 acres of land.
EXCEPTING THEREFROM: Beginning N00 °12'W, 1320 feet from the N1/4 Corner
of Section 34, T34N, R118W, and running thence NOQ °12'W, 266.64 feet; thence
N89 °54'E, 1001.88 feet; thence S00 °04'E, 266.64 feet; thence S89 °54'W, 1001.88
feet to the point of beginning, containing 6.1 acres.
1
2. That the undersigned affiant is the same identical person as Eva LaRue Bateman
named as one of the grantees in the above described Quitclaim Deed, that she and HAROLD F.
BATEMAN were husband and wife at the time of the execution and recording of the Quitclaim Deed
described above, and that as the surviving cotenant and spouse of HAROLD F. BATEMAN, named
in said conveyance, the undersigned, Eva LaRue Bateman, became on June 18, 2009, the date of
the death of the aforementioned decedent, the owner of the lands or the owner of any interest of
HAROLD F. BATEMAN, in the lands described in the foregoing, subject to any then existing liens
and encumbrances.
2010.
TOGETHER WITH a 60 -foot wide right -of -way easement for ingress and egress and
all utilities, for the benefit of grantees and their heirs, successors and assigns,
including the right to construct and maintain a roadway and utilities, over, across,
and along the West 60 feet of the exception parcel described above.
SUBJECT TO all easements, exceptions, restrictions, reservations and rights of way
of sight or record.
DATED the 8th day of December, 2010.
a LaRue Bate
Subscribed and sworn to by Eva LaRue Bateman before me this 13th day of December,
Witness my hand and official seal.
g GERALD L. GOULDING NOTARY PUBLIC
County of
Lincoln
State of
Wyoming
My Commission expires May 2, 2011
My commission expires: May 2, 2011.
2
€40 O17
NOTARY PUBLIC
CERTIFICATIO ITAL RECORD;
Daf4iled JUNE 25, 2009
AMENDED 08/31/2009 08/28/2009 07/06/2009
STAVE OF IDAHO
DEPARTMENT OF HEALTH AND WELFARE
BUREAU OF VITAL RECORDS AND HEALTH STATISTICS
SIX SOCIAL SECURITY NUMBER AGE DATE OF BIRTH
k MALE 78 YEARS MAY 25, 1931
BIRTHPLACE PLACE OF RESIDENCE
AFTON, WYOMING BEDFORD, WYOMING
MARITAL STATUS AT TIME OF DEATH NAME OF SURVIVING SPOUSE (If wife, maiden name) WAS DECEDENT EVER IN
U.S. ARMED FORCES?
MARRIED EVA LARUE MICHA.E,LSON YES
FATHER -MIME r BIRTHPLACE
FRANK H BATEMAN WYOMING
MOTHER MAIDEN NAME BIRTHPLACE
ANNA BARBARA NEUENSCHWANDER WYOMING
METHOD OF DISPOSITION FUNERAL SERVICE LICENSEE...
REMOVAL FROM STATE CRAIG L. GEARY
NAME AND ADDRESS .OF FUNERAL FACILITY
NALDER'S FUNERAL HOME, SHELLEY, IDAHO
DATE OF DEATH TIME OF DEATH CITY,TOWN OR LOCATION OF DEATH COUNTY OF DEATH
JUNE 18, 2009 11:40 P.M. IDAHO FALLS, IDAHO BONNEVILLE
CAUSE OF DEATH (underlying cause last) Approximate Interval Between
a Onset and Death
HEMORRHAGE 6 -18 -09
DUE TO (or as a consequence of):
b CRUSH INJURY TO CHEST AND ABDOMEN 6-18-09.
DUE TO (Pr as a consequence of):
c
DUE TO (or as a, consequence of):
OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH but not resulting in the underlying cause given above WAS AN AUTOPSY
d.
PERFORMED?
NONE STATED NO
MANNER OF DEATH NAME OF CERTIFIER TITLE
ACCIDENT JOHN P. HUSTON CORONER
CORONER SUBSEQUENT CERTIFICATION IF NECESSARY
TIME OF INJURY
12:15 P.M.
PLACE OF INJURY
WORK BUILDING
INJURY AT
WORK?
YES
LOCATION WHERE INJURY OCCURRED
1948 CEDAR CREEK ROAD, STAR VALLEY. RANCH, WYOMING
DESCRIPTION OF HOW INJURY OCCURRED
This is a true and correct reproduction of therdocuthent officially registered and placed
on file with the IDAHO BUREAU OF VITAL RECORDS AND HEALTH STATISTICS.
DATE ISSUED:
This copy is not valid unless prepared on engraved border
displaying state seal and signature of the Registrar.
JANE S. SMITH
STATE REGISTRAR
OO.);01S
State File No