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HomeMy WebLinkAbout9671071. That I am a successor trustee of the Newell and Carol Yeaman Family Trust dated November 28, 2001. 2 That on December 3, 2001 in Book 478PR on page 566 of the records of the Lincoln County Clerk was recorded a Quitclaim Deed from Newell R. Yeaman and Carol R. Yeaman to Newell and Carol Yeaman Family Trust dated November 28, 2001 conveying the following described land: Beginning at the southwest corner of Lot 3 of Block 3 of the Townsite of Afton, Lincoln County, Wyoming and running thence East 165 feet; thence North 112 feet; thence West 165 feet; thence South 112 feet to the point of beginning. 3. That Carol R. Yeaman died on June 22, 2011 as shown on the certified copy of the decedent's death certificate attached to this Affidavit and, pursuant to the provisions of said Trust, Newell R. Yeaman is the successor Trustee. Subscribed and sworn to (or affirmed) before me this 2012 by Newell R. Yeaman. Witness my hand and official seal. RECEIVED 9/28/2012 at 11:22 AM RECEIVING 967107 BOOK: 795 PAGE: 83 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY AFFIDAVIT OF TRUST 00083 ewel Yeaman State of Wyoming )ss County of Lincoln I, Newell R. Yeaman, do solemnly swear that I have read the foregoing Affidavit subscribed by me; that I know the contents thereof and verify believe the statements therein contained are true. ewell R. Yeaman day of Notary Public pita CERTIFICATI VITAL RECORD 00084 Decedent: State File Number: 2011-001944 Name: Carol R. Yeaman Gender: Female Social Security Number: Date of Birth: September 15, 1926 Age at the Time of Death: 84 years Date and Place of Death: Date of Death: June 22, 2011 County of Death: Lincoln City of Death: Afton Location: Star,Valley Care Center 120 Hospital Ln i, Additional Decedent Information Place of Birth: Belen, New Mexico Residence: Afton, Wyoming Marital Status: Married- NewellYeaman Armed Forces: No Name of Father: Frank Wilson Name of Mother: Margaret Forbes Informant: Newell Yeaman Relationship: Husband D Method of Disposition: Cremation Place of Disposition: Schwab Mortuary Crematory, Afton, Wyoming r Funeral Home -or Facility; Facility: Schwab Mortuary, Afton, Wyoming Cause of Death: Other Significant Conditions: Manner of Death: Natural Death This is a true certification of the document on file in the office of Vital Statistics Services, Cheyenne, Wyoming. DATE''ISS :Thursday, September 06, 2012 G This copy, is net valid .unless prepared on paper with.an engraved border. DEPARTMENT OF HEALTH CERTIFICATE OF. DEATH The immediate cause is listed on the first line followed by any underlying causes. Interval: (a) Alzheimers disease Years (b) Age Certifier: Type: Physician Name: Noel B Stibor, M.D. Address: 110 Hospital Lane, PO Box 579,: Afton, Wyoming, 83110 Date Filed: July 07, 2011 Time of Death: 02:20 (Actual) J ames McBride Deputy State Registrar 6 1