HomeMy WebLinkAbout964603I, Harvey H. Wakefield, being of lawful age and duly sworn according to law,
upon my oath, depose and state:
1. That under an Affidavit of Survivorship, dated December 15, 2008 and recorded
December 22, 2008, at Book 711, Page 482, Harvey H. Wakefield and George W. Drube,
became the owners as joint tenants with rights of survivorship, of the following described
land, in the County of Lincoln, State of Wyoming, to -wit:
Lots 16 and 17 of Southland Park Addition to the Town of Diamondville, Lincoln County,
Wyoming, according to the plat of record in the office of the Lincoln County Clerk,
EXCEPTION THEREFROM: that 22.00 foot Northerly portion of Lot 17 of Southland
Park Addition, Town of Diamondville, County of Lincoln, State of Wyoming, more
particularly described as follows: Beginning at the Northeast corner of said Lot 17 of the
Southland Park Addition; thence South 72 °32'51" West along the Northerly boundary
line of Lot 17, a distance of 99.18 feet; thence in a Southeasterly direction along the arc of
a curve to the left, the radius of said curve being 50.00 feet, a distance of 27.93 feet;
thence North 72 °32'51" East, a distance of 82.68 feet to a point on the Eastern boundary
line of Lot 17; thence North 17 °27'09" West along the Eastern boundary line of Lot 17, a
distance of 22 feet, to the point of beginning
TOGETHER WITH a 1984 16 x 72 Westpark Mobile Home, serial number
CMC5Co5933428, and any and all improvements, buildings and appurtenances thereon
situate or in anywise appertaining thereto
And also
Lot Thirty -Three (33), Spring Canyon Ranch Subdivision, Lincoln County, Wyoming
2. That Harvey H. Wakefield and George W. Drube, as joint tenants with rights of
survivorship, were the owners of said real property, and the title thereto vested in them
continuously from the date of said instrument, to the date of death of George W. Drube,
on the 26th day of April, 2012. That by reason of and upon the death of George W.
Drube, title in the above described real property vested in Harvey H. Wakefield, as the
surviving tenant.
3. Affiant avers and certifies that George W. Drube, also known as George William
Drube, is the identical party named with Harvey H. Wakefield in the aforementioned
instrument, 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 7 day of
RECEIVED 5/17/2012 at 2:14 PM
RECEIVING 964603
BOOK: 786 PAGE: 362
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Affidavit of Survivorship
2012.
00362
Harve,vi Wakefield
1
State of lc. ttiL t UCel
ss.
County of (..LLne £1
Subscribed and sworn to before me, a notary public in and for said County and
State, by Harvey H. Wakefield this G day of 1 2012.
WITNESS my hand and official seal.
My Commission Expires: EXtrb t2 l9 2344
))';tzlziAzize
4 A
Notary Public
00363
2
Date and Place of Death:
Date of Death:
City of Death:
Location:
Additional Decedent Inform
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father
Name of Mother:
Informant:
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) Acute Congestive Heart Failure
(b) Coronary Sclerotic Heart Disease
Other Significant
Conditions:
Manner of Death:
Certifier:
Type:
Name:
Address:.
Date Filed:
STATE OF WYOMING
George William Drube
Male
December 26, 1927
April 26, 2012
Rock Springs
222 Gateway BoulevardSpace 146
ation:
Cheyenne, Wyoming
Rock Springs, Wyoming
Never Married
No
Herman Otto Drube
Elizabeth L. Otten
Harvey H. Wakefield
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
State File Number:
Relationship:
Cremation
White Mountain Crematory, Rock Springs, Wyoming
Vase Funeral Chapel, Rock Springs, Wyoming
Natural Death Time of Death:
Coroner
Travis Sanders, Deputy Coroner
421 B Street, Rock Springs, Wyoming, 82901
May 01, 2012
This is a true certification of the document on file in the office of Vital
Statistics Services,.. Cheyenne, Wyoming.
DATE ISSUEDWednesday May. 02, 2012
This copy is not.valid unless prepared on paper with an engrayed.border.
Social Security Number:
Age at the Time of Death:
County Of Death:
ll #1F
ITAL RECORD {ylll
2012- 001186
84 years
Sweetwater
Nephew
15:45 (Approximate)
James McBride
Deputy State Registrar
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refit >iii{Z; 7, i //N„' 4� f" t ash fgaz
CERTIFICATIO