HomeMy WebLinkAbout970600NTL -62934
When recorded mail to:
Linda R. Nate
PO Box 152
Cokeville, WY 83114
Comes now the undersigned Linda R. Nate aka Linda Rae Nate and Marilyn Nate Cragun and being on oath
first duly deposes and says:
1. That they are citizen's of the United States of legal age and capacity, and competent to make this
affidavit.
2. That we were personally acquainted with the deceased, Alva N. Nate
3. That said deceased is one in the same person as Alva N. Nate who acquired title to the property thru
the Affidavit Recorded February 11, 2008 Entry No. 936871 Book 686 page 369 and listed in that
certain document as recorded on April 26, 2006 at Entry No. 917776 in Book 617 at Page 809 in the
office of the Lincoln County recorder, State of WY.
5. That the purpose of this affidavit is for Linda R. Nate aka Linda Rae Nate, and Marilyn Nate Cragun
to accept the Trusteeship of the Orson A. Nate and Alva N. Nate Family Trust, Dated the 18th day of
April 2006 and hereby agree to act as Trustee of said Trust on all the terms, provisions and conditions
specified in said Trust.
6. That a certified death certificate of the deceased is hereby attached.
Legal description: Lots 10, 11, 23, 24, 25, 26 and 27; the SE' /<NW' E1/2SW1/4 all situate in Section 7, Township 23 North, Range
119 West, 6th P.M., County of Lincoln, State of Wyoming.
State of WY
County of Uinta ss:
On April 22, 2013 personally appeared before me Linda R. Nate aka Linda Rae Nate and Marilyn Nate
Cragun and the signer(s) of the within instrument, who duly acknowledged to me that They executed the same.
SHAWN R UNGER
COUNTY OF
UINTA
MY COMMISSION EXPIRES
RECEIVED 4/24/2013 at 4:10 PM
RECEIVING 970600
BOOK: 809 PAGE: 824
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
AFFIDAVIT AND ACCEPTANCE OF TRUSTEESHIP
STATE OF
WYOMING
MAY12,2013
Lind R. Nate aka Lin ae Nate
Marilyn Na e Cragun
4..e
Nota P blic
Expi S= 10-,-(Z
DECEDENT LEGAL NAME
ALVA NORA DIMOND NATE
NAME AND ADDRESS OF FUNERAL FACILITY
MATTHEWS MORTUARY, INC., MONTPELIER, IDAHO
STATE OF IDAHO
DEPARTMENT OF HEALTH AND WELFARE
BUREAU OF VITAL RECORDS AND HEALTH STATISTICS
CERTIFICATE OF DEATH
SIX SOCIAL SECURITY NUMBER AGE LATE OF BIRTH
FEMALE 95 YEARS AUGUST 03, 1913
BIRTHPLACE PLACE OF RESIDENCE
SALT LAKE CITY, UTAH COKEVILLE, WYOMING
MARITAL STATUS AT TIME OF DEATH NAME OF SUFNNING SPOUSE (deify, maiden name) WAS DECEDENT EVER IN
US. ARMED FORCES?
WTDQWED NO
FATHER NAME BIRTHPLACE
WALTER DIMOND ENGLAND
MOTHER MAIDEN NAME BIRTHPLACE
NORA TURPIN UTAH
METHOD OF DISPOSITION FUNERAL SERVICE LICENSEE
REMOVAL FROM STATE LEONARD H. MATTHEWS
DATE OF DEATH TIME OF DEATH CITY TOWN OR LOCATION OF DEATH COUNTY OF DEATH
DEC. 30, 2008 10:50 P.M. MONTPELIER, IDAHO BEAR LAKE
CAUSE OF DEATH underlying 08859 1881) Approximate Interval Between
Onset and Death
PNEUMONIA 24 HOURS
DUE TO (or es a. consequence W):
b.
DUE TO (or as 9 consequence Or
DUE TO (or 88 a consequence. of)'
OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH but not resulting in the underlying cause given above WAS AN AUTOPSY
PERFORMED?
NONE STATED NO
MANNER OF DEATH NAME OF CERTIFIER TITLE
CERTIFICATION OF VITAL RECORD
NATURAL VASHU DEOOMAL THAKUR, M.D. PHYSICIAN
CORONER SUBSEQUENT CERTIFICATION IF NECESSARY
13 AL UvrsFx LI'
TIME OF INJURY
PLACE OF INJURY
�iwuRY Af
WORK?
LOCATION WHERE INJURY OCCURRED
DESCRIPTION OF HOW INJURY OCCURRED
This is a true and correct reproduction of the document officially registered and placed
on file with the IDAHO BUREAU OF VITAL RECORDS AND HEALTH STATISTICS.
JANUARY 12, 2009
DATE ISSUED•
This copy is not valid unless prepared on engraved border
displaying state seal and signature of the Registrar.
JANE S. SMITH
STATE REGISTRAR
State File No
2008 -10722
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