HomeMy WebLinkAbout962843AFTER RECORDING PLEASE RETURN TO
DANES, THOMAS SMITH, LLP
135 N MAIN, SUITE 200
LOGAN, UTAH 84321
MAIL TAX NOTICES TO:
CRAIG D. ANDERSON
350 EAST 200 SOUTH
HYRUM, UTAH 84319
Whereas I, Craig D. Anderson, have known Parley Andrew Anderson aka Andrew H. Anderson for
a great number of years. I know that Parley Andrew Anderson aka Andrew H. Anderson deceased, shown
in the attached death certificate, is one and the same person as Andrew H. Anderson shown in the following
Warranty Deed:
1. A Warranty Deed recorded on September 26, 1984, as Entry No. 623806, in
Book 218PR, Page 871, in the Lincoln County Recorder's Office, and
describing property situated in Lincoln County, State of Wyoming as follows:
DATED this 1 3 day of January, 2012.
STATE OF UTAH
County of Cache
ss.
AFFIDAVIT
Legal Description attached as Exhibit "A"
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CRAIGb. ANDERSON
On the f' ;t day of January, 2012, personally appeared before me CRAIG D. ANDERSON, the
signer of the within instrument, who duly acknowledged to me that he executed the same.
NOT/41Y PUBLIC
MARY ANN OAi:SON
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RECEIVED 1/20/2012 at 11:20 AM
RECEIVING 962843
BOOK: 779 PAGE: 599
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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CERTIFICATI 1
ITAL RECORD
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Date Issued: April 19, 2010
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Barry E. Nangle, State Registrar
Office Vital Statistics
CERTIFICATE OF DEATH
State File Number: 2010003926
Parley Andrew Anderson
DECEDENT INFORMATION
Date of Death: April 1, 2010
City of Death: Qgden
Age: 99
Place of'�irth: Salt Lake City, Utah
Armed Services: No
Spouse's Name: Claudia Mae Netherly
)ndustry/Business: Agriculture
(Residence: Hyrum, Utah
Mother's Name: Laura Hunter
Facility or Address: McKay -Dee Hospital Center
INFORMANT INFORMATION
Name: Claudia Mae Anderson Relationship:
Mailing Address: 360 South 600 East, Hyrum, Utah 84319
DISPOSITION INFORMATION
Method of Disposition: Burial
Place of Disposition: Hyrum City; Cemetery;, Hyrum, Utah
Date of Disposition: April 7, 2010
FUNERAL HOME INFORMATION
Funeral Home: Allen -Hall Mortuary
Address: 34 East Center Street, Logan, Utah 84321
Funeral Director: Jeffery Allen
Adult respiratory distress syndrome
Pneumonia
Autopsy Performed: No
Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
Father's Name:
Facility Type:
Spouse
Manner of Death: Natural
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Weber
November 21, 1910
Male
Married
Farmer /Rancher
Hjgh School or GED
Parley Theodore Anderson
Hospital Inpatient
MEDICAL CERTIFICATION
Medical Professional: Jeffrey Abel MD, 4403 Harrison Blvd 3815, Ogden (Weber), Utah 84403
CAUSE OF DEATH
Respiratory failure
Due to (or as a consequence of):
Due to (or as. a consequence of):
Tobacco Use: Did not Contribute.
Medical Examiner Contacted: No
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 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.
ary House
Director /Health Officer
County /District Health
Jd Department
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