HomeMy WebLinkAbout971671File No.: 191409
STATE OF WYOMING
COUNTY OF LINCOLLN)
I
upon my oath, depose and state:
FURTHER AFFIANT SAYETH NOT.
AFFIDAVIT TERMINATING ESTATE
1. That I am of adult age, a resident of ,2ji7 ry
Ze7, and the Affiant herein.
2. That by virtue of the conveyances which are recorded in the office of the County Clerk for
Lincoln County, Wyoming, located at Kemmerer, Wyoming is recorded a Quit Claim Deed
dated the 18 day of July, 2001, in Book 470PR on page 004 conveys unto Trudy Williams,
Kent Edwards, Penny Soltis, Randy Edwards, Jesse Edwards, Bruce Edwards and Kelly
Edwards, as joint tenants with full rights of survivorship the following described property, to-
wit:
3. That said Kent Edwards aka Kent Larry Edwards on the 18 day of December, 2007, died
and a copy of the original certificate of death, certified to as true and correct by public authority
in which the original of said certificate is a matter of record, is attached hereto as Exhibit "A
4. That by reason of death of said Kent Edwards aka Kent Larry Edwards by reason of 2 -9 -102
W.S. (1980), the decedents interest and title in said conveyance has terminated and title to the
real property conveyed thereby has vested absolutely in Trudy Williams, Penny Soltis, Randy
Edwards, Jesse Edwards, Bruce Edwards and Kelly Edwards, as joint tenants with full rights of
survivorship continuously since the death of the said decedent.
State of Wyoming)
County of Lincoln)
The foregoing instrument was subscribed and sworn to me by
this 2 L day of 2013
Witness my hand and official seal.
Notary Public
My Commission Expires:
being of lawful age and first duly sworn according to law,
9 -/S
GLORIA K. BYERS
County of
Lincoln
My Commisson Expires
NOTARY PUBLIC
State of
Wyoming
September 15, 2015
UO411;
RECEIVED 6/26/2013 at 2:03 PM
RECEIVING 971671
BOOK: 814 PAGE: 416
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
DECEDENT INFOR
Date of Death:
City of Death:
Age:
Place of Birth:
Armed Services:
Spouse's Name:
Industry/Business:
Residence:
Mother's Name:
Facility or Address:
CAUSE OF
Metastatic Lung Carer
Tobacco Use: Non-uset
Medical Examiner Co gcted
MATION
December 18, 2007
Salt Lake City
60
Murray, Utah
Yes
Shauna Burbidge
Kennecott Copper Corp
Auburn, Wyoming
Trelma Sue Reeves
Date Registered: December 20, 2007
Date Issued: May 1, 2013 4 4
Medical Professional: IVIary Jane Norman MD, 451 Bishop
CERTIFICATE OF DEATH
State File Number: 2007013956
Kent Larry Edwards
Time of Death:
County of Death:
Date of Birth:
Sex:
Marital .Status:
Usual Occupation:
Education:
Father's Name:
Facility Type:
Garden Terrace Alzheimers
INFORMANT INFORMATION
Name: Shaun. s Edwards Relatiori
Mailing Address: 233 1st West Street, At.iburn, VVybming 83111
08:15
Salt Lake
August 24, 1947
Male
Married
Refinery Worker
Some College but No Degree
LaVal Edwards
Nursing Home/Assisted Living
POSITION INFORMATION
Method of Disposition: Burial
Place of Dispositio n MurraCity Cemetery, Murray, Utah
Date of Disposition: _pecamber 22, 2007
FUNERAL HOME, INFOR'MATION
Funeral Home: J, McDougal Funeral Home 3.'
L,l
Address: 4330 South RedvoQ d Road' Salt,Lake:City,.Ut4h
Funeral Director: Kirk McDouga
V
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MEDICAL CERTIFICATION
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CERTIFICATION OF VITAL RECORD
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This Is an exact reproduction of the facts registered inzthe State Office of Vital.Statistics.
Security features of this officiadocument include Intaglio Border, V R images cycloids,
k‘k ultra violet fibers and hologram image of the Utah SeaT, the words "_State-of Utah".
This document displays the date, seal and signature of the State Registrar of Vjtal Statistics. 1 4, 4
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UTAH DEPARTMENT OF HEALTH
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