HomeMy WebLinkAbout960192Larry D. Osmond, being first duly sworn upon my oath deposes, and states
as follows:
1. That I am a successor trustee of the J.D. Osmond Revocable Trust
dated the 30 day of October 1992.
2. That on October 30, 1992 in Book 320PR on page 505 of the records of
the Lincoln County Clerk was recorded a Quitclaim Deed from J.D. Osmond,
aka John D. Osmond and Wyoma Osmond to J.D. Osmond as Trustee of the
J.D. Osmond Revocable Trust dated the 30 day of October, 1992 conveying
the following described land:
Lot 30 of Block 37 of the Glen Kennington EtAI Addition to the Afton,
Wyoming Townsite, according to the plat thereof recorded in the Office
of the Lincoln County Clerk on September 13, 1977, Recorder's No.
498185.
3. That J.D. Osmond died on November 18, 2009 as shown on the
certified copy of the decedent's death certificate attached to this Affidavit
and, pursuant to the provisions of said Trust, Larry D. Osmond and Wyoma
Osmond are the successor Trustees.
State of Wyoming
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County of Lincoln
ubscribed and sworn to (or affirmed) before me this t day of
U LL 2011 by Larry D. Osmond.
Witness my hand and official seal.
My commission Espires:
AFFIDAVIT
j.4--(-Lt4 Notary Public
00,0698
Larry i. Osmond
RECEIVED 7/22/2011 at 2:22 PM
RECEIVING 960192
BOOK: 769 PAGE: 698
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Coroner
STATE of WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF.DEATH
Burial
Thayne Cemetery, Thayne, Wyoming
Schwab Mortuary, Afton Wyoming
Maryanne Christensen, Deputy Coroner
274 N St, Box 57,.Grover, Wyoming, 83122.
November.25, 2009
Time of Death: 11:56 (Actual).
Gladys K. Breeden
Deputy State Registrar
SP:
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Decedent: State File Number: 2009 003459
Name: John Darwin\Osmond
Gender Male Social Security Number
Date of Birth: September 28, 1918 Age at the Time of Death:
Date and Place of Death
Date of Death: November 16, 2009
City of Death: Afton
Location: 286 E. 8th Ave
Additional Decedent Information:
Place of Birth: Etna, Wyoming
Residence: Afton, Wyoming
Marital Status: Married Wyoina <Roos
Armed Forces: Yes
Name of Father: Vasco Osmond
Name of Mother Mary Anna Moser
Informant: Wyoma Osmond f
Disposition:
Method of■Disposition:
Place of Disposition:
Funeral Home or Facility:
Facility:
Cause: of Death:
The\immediate cause is listed on the first line followed by any underlying causes.`
(a)espiratory Failure
(b) Chronic Respiratory Disease
Other Significant
Conditions:
Manner of Death:
Type:
Name:
Address:
Date Filed:
433126
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This is a true certification of the document on file in the office of Vital
Records Services, Cheyenne, Wyoming.
5 DATE ISSUED: `Monday, November 30, 2009
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This copy is not valid unless prepared on paper with an.engraved border.
71 71I,II1I II,.I.I.I IJ.I.I.. III.I.I.I.WJ.W.41
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