HomeMy WebLinkAbout959130I, Florence Varney Wignall, being of lawful age and duly sworn according to law,
upon my oath, depose and state:
That under the date of June 1, 1995, for valuable consideration, Leisure Valley,
Inc., by deed of that date, which deed was duly filed of record in the Office of the Lincoln
County Clerk, on June 14, 1 995, in Book 369PR, Page 355, conveyed to Parley Varney
and Florence Varney, Joint Tenants, the following described land, in the County of
Lincoln, State of Wyoming, to -wit:
Star Valley Ranch RV Park Plat One (1) Lot Three Hundred Ninety Four (394) as platted
and recorded in the Official Records of Lincoln County, Wyoming
That by reason of said conveyance aforesaid, the said Parley Varney and Florence
Varney, became the owners of said real property, and the title thereto vested in them
continuously from the date of said conveyance, to the date of death of Parley Varney, on
the 25th day of November, 2007. That by reason of and upon the death of Parley Varney,
title in the above described real property vested in Florence Varney.
Affiant avers and certifies that Parley Varney, also known as Parley Eugene
Varney, is the identical party named with Florence Varney in the aforementioned deed,
whose death terminated his interest, title and estate in said real property; and Affiant
attaches hereto, and makes a part of this affidavit, a copy of the Official Certificate of
Death of said decedent, duly certified by the public authority in which said death
certificate is a matter of record.
Dated this
State of Ufa dl
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County of ioa5ht Ivj+OK
ubscribed word to before me, a notary public in and for said County and
State, by Florence Varney ignall, this ?.4 day of 2011.
WITNESS my hand and official seal.
ANN B. MARSHALL
Newry MSc *State of Utah
Commission #605393
COOKUP.02424011
My Commission Expires:
day of
This Document is beih9 recorded by
Rocky Mountain Title Insurance Agency
of Lincoln County as a COURTESY only
Affidavit of Survivorship
a/o a o
2011.
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loren2' arney Wignall
Notary Public
RECEIVED 5/2/2011 at 12:25 PM
RECEIVING 959130
BOOK: 766 PAGE: 164
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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up
CERTIFICATION OF VITAL RECORD
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Manner of Death: Natural
David W. Blodgett
Director /Health Officer
County /District Health Department
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DECEDENT INFORMATION
Date of Death: November 25, 2007
City of Death: Washington
Age:
Place of Birth:
Armed Services:
Spouse's Name:
Industry/Business:
Residence:
Mother's Name:
Facility or Address:
INFORMANT INFORMATION
Name: Florence Virginia Varney Relationship:
Mailing Address: 2108 N. Silver Stone Way, Washington, Utah 84780
DISPOSITION INFORMATION
Method of Disposition: Burial
Date of Disposition: November 29, 2007
Place of Disposition: Washington City Cemetery, Washington, Utah
FUNERAL HOME INFORMATION
Funeral Home: Heideman Mortuary
Address: 170 S Mall Drive, St George, Utah 84790
Funeral Director: Brien K.Heideman
MEDICAL CERTIFICATION
Certifying Physician: Robert Lemon MD, 544 S. 400 E., St George, Utah 84770
CAUSE OF DEATH
Cardiorespiratory Failure
Acute Myelogenous Leukemia [Onset: 2 Months]
Tobacco Use: Did not Contribute
Medical Examiner Contacted: No Autopsy Performed: No
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December 4, 2007
83
American Fork, Utah.
Yes
Florence Virginia Greer
Petroeum
Washington, Utah
Lovina Conder
2108 N. Silver Stone Way
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CERTIFICATE OF DEATH
State File Number: 2007013053
Parley Eugene Varney
Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
Father's Name:
Facility Type:
uiu
21:45
Washington
March 22, 1924
Male
Married
Engineer
High School or GED
Jacob Earl Varney
Home
Wife',
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,
��uu�`qunl y hi ultra violet fibers and hologram image of the Utah State Seal, over the words "State of Utah". This document displays the date, seal and signature of the State Registrar and the County /District Health Officer.
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/1 Barry E. Nangle, State Registrar
Office of Vital Statistics
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