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Home My WebLink About869379B001( PR PAGE 0 0 2 869379 Together with all improvements appertaining thereto. RECEIVE f) I na, AFFIDAVIT TERMINATING JOINT TENA I, LaREENE T. BARRUS, a/k/a LaREENE BARRUS MARTIN, being of lawful age and duly sworn according to law, upon oath depose and say: 1. That BOYD W. BARRUS and Affiant were husband and wife until Boyd W. Barrus's death on October 7, 1992. 2. That by certain Quit Claim Deed, dated October 29, 1984, and filed with the Lincoln County Clerk's Office on September 9, 1987, in Book 254 P.R., Page 611, conveying and affirming possession of real property to Boyd W. Barrus and LaReene T. Barrus, Husband and Wife, Tenants by Entireties, the following described real property, to -wit: BEGINNING at the Southwest corner of Lot 3, Block 23, Afton Townsite, Lincoln County, Wyoming, and running thence North 10 rods; thence East 10 rods; thence South 10 rods; thence West 10 rods to the point of beginning. 3. Also by that by certain Warranty Deed, Dated May 24, 1973, and recorded on November 20, 1973, in Lincoln County Clerk's Office, in Book 108P.R., Page 174, at Kemmerer, Wyoming, that by reason of the above -said conveyance, the said Boyd W. Barrus and LaReene T. Barrus, became the owners of the said described real property as Husband and Wife, Tenants by the Entireties to -wit: BEGINNING at a point one and one -half rods (1 1/2) East of the Southwest Corner of Lot one, in Block twenty -one (21) of the Afton Townsite, Lincoln County, Wyoming, and running thence North five (5) rods; thence East eight and one -half (8 1/2) rods; thence South five (5) rods; thence West eight and one -half (8 /12) rods to the place of beginning, together with improvements and water rights. 4. That as Husband and Wife, Tenants by Entireties, which by Wyoming law conveys rights of survivorship, title thereto vested in them continuously from that date of the conveyance as described in the above deeds to the date of death of the said Boyd W. Barrus, which occurred on the 7th of October, 1992, as aforesaid. l YOUNG G n) 0 D Igfld A2Id.LON upteN snJ.trg auaalm upyu Sf12RIdg'Z ►g .u'I :saaidxg uotsstuzutoj sa�idx�uo�ssiwwa� U107UIl W to WflO3 o118f nd AVV10N NO1W9 NONYHS pas lPtogJo puu pint' iitu SSaN1IM '000Z `aagoloO jo /Cup still mini auaa21wJ upvg `stung j auoojw] iig out =jag pa2poimou}lou sum AJNVN II INIOf IIAVQIddV 5uto2azol atli Ansnii0D SS[ OMI kOAM IO 11VIS 'OOOZ `aagoloO Jo icupp, zosiiil QL.LVQ •lou torus l TITV `2IaH112If13 Xltadotd real atp ut app. pup lsatalut sttl 5uimuttzual p.tooai jo .1aimuz apiux &i tang si Aluotline olignd gig paijtilao uaag 211tn1tl luapaoap pies atli Jo wow() plop'glotww° aulIo Adoo y iuuJJy all ut iiialniosq poison Xi.zadoid Tat pagiaosap -anogm all of opp `sn.uug rn piog pigs atli Jo' map jo amp atli uo puu jo UMW Ag intl L 9 Z jo Z aud snxxdg ADNVNU,L INIOf 9NI1VNIIATua1 LIAR QI33d F;'1! i 1 MI In 2 SALT LAKE CITY COUNTY HEALTH DEPARTMENT b DIVISION OF VITAL STATISTICS TAH TATE OF U DEPARTMENT OF HEALTH Ma n,un CERTIFICATE OF DEATH Yr Y Sambas Ad 18-3665 S7 AT E FILE NUMBER and Rates LOCAL FILE NUMBER 1. NAME OF DECEDENT FIRST MIDDLE LAST 2. SEX 3a. DATE OF DEATH (Mo. Cat YO 3 0. TIME OF DEATH 124 nr. dad Bo 947 yd yd Wendell BARRUS I Male 1 October 7, 1992 SOCiAL NUMBER T 10101ting f the underlying ca en In Pan N death ealh Dal not 32. IN YOUR OPINION, TO USE BY THE DECEDENT ID D Probably contributed to the cause of death Was the undadying cause of death D Did not contribute 10 the cause of death Is unknown In relation to the cause of death 34 MANNER OF DEATH {7;t Nalwal Accident Suicide Homicide Undetermined Injured 0 v end i n g on Purposely or Accidentally 35c. INJURY AT 356.11 motor vehicle a cident. specify d decedeN was driver, passenger pedestrian. 351. DESCRIBE HOW INJURY OCCURRED (enter seque of events Which resulted In injury. NATURE OF INJURY SHOULD BE ENTERED IN ITEM 31) 35..LOCATION (Street or rural route number. city or town, county and stare) NON•USER WORK? 350. LA C OF I etc, P�Y farm, Nreel, ladory. P WARNING: IT IS ILLEGAL TO Yea ®No E THIS COPY FOR OF PURPOSE 0 Inpatient 0 ER/001P01renl DOA DECEDENT ac. CITY. TOWN OR LOCATION OF DEATH Salt Lake City PARENTS INFORMANT DISPOSITION REGISTRAR CAUSE OF .DEATH v Date Issued .4O7v:040��oQo ,e 7. 4. DATE OF BIRTH 1100. Dar Y11 5. AOE dam &thear IF U 1 YEAR IF UNDER 24 HOURS 6. BIRTH PLACE t �a t area Fwagn Cowan) 5 20 20 607 9 Feb. 23, 1925 67 Y, Afton, Wyoming Ba. PLACE OF DEATH Check only ono) orb. NAME OF HOSPITAL. NURSING HOME OR OTHER FACILITY (l /oulalde a Wilily. HOSPITAL: OTHER: give street address al location) Nutaing Home [3 Residence Other LDS Hospital Ind. COUNTY OF DEATH 9. SURVIVING SPOUSE 61 wile. girl maiden name) Salt Lake Lydia LaReen Thornock 12a. DECEDENTS USUAL OCCUPATION (Give kind of work done .126. KIND OF BUSINESS OR INDUSTRY 10. WAS DECEDENT 11. MARITAL STATUS EVER 1N U.S. during most of working hie. Do NOT use loured) ARMED FORCES? ❑Never Married onied U.S. Postal Service 130. RESIDENCE STREET AND NUMBER ®Yea 0 N ❑Divorced Widowed Rural Letter .Carrier 13d. STATE 136. CITY, TOWN. OR COMMUNITY 13C COUNTY Lincoln Wyoming 42 Jackson Street A fton 1� I5.RACE•Black,White.Am.Indian 1 10. EDUCATION (SPecityonlyhighestgra 130. INSI DE CITY 131. 21P CODE 14. WAS DECEDENT OF HISPANIC ORIGIN? Yes m No (Tribe may be entered). Japanese, completed) 1) 9 I D ry or Secondary LIMITS? pi yes, speedy) end. (Specify) 83110 Mexican Cuban Puerto Rican Other Spoon, White 12 17 F Na 16. MAID N NAME OF MOTHER Inst. UMW, Last) 1 7. FA NAM (Fast. MAIM. Last) Adeline Hoopes Osmond Wendell Barrus 19. NAME. RELATIONSHIP AND MAILING ADDRESS OF INFORMANT LaReen Barrus, Wife, 425 Jackson Street, Afton, Wyoming 83110 OCATIOM•oly or Town. alone 20. METHOD OF DISPOSITION 21 e. DATE OF DISPOSITION Sib PLACE OF a0 DISPOSITION (Nam. Miele Entombment El Oonalion Other 8O1 CremE R L an Oct. 12, 1992 Afton Cemetery Afton, Wyoming 22.6113NATURE OF FUNNER RAL SERVICE CE LICENSEE 23. LICENSEE NUMBER 24 FUNE HOME (Name, address and ltcehse numbed Goff Mortuary, Inc. #41 8090 So. State St. Midvale, Utah 84047 IMMEDIATE CAUSE (Final disease or condition resulting In death) Sequentially list conditions.. b 11 any. leading to Immediate cause. Enter UNDERLYIQIG CAUSE (disease or injury a that initialed events result:ng in death) LAST This is to certify that this is a true copy of the information on file in this office. This certified copy is issued under authority of Section 26.15 26 of the Utah Code Annotated, 1953 as amended. OCT 15 1992 47660 certified by medical examiner. was death reposed to M.E.? Yes 0 No II yea, enter the date and hour reported: M.E. Case No. AY AR 41 S T 25. DATdDECEASED S T ATTENDED BY CERTIFYING PHYSICIAN 01 92 HOUR M0. CERTIFIER 27a. CERTIFIER 111 el -E N +PCN To Iha pest of my kn HYSIIAow edge, d ash occurred at the time, dale, and place, and due to the cause(s) and manner as stated. 0 b1 I FXA HER I LAN) QROEMFNT OFFICIAL ndloT Investigation, In my opinion, death occurred at 1 270 cause(s) E S) n d manner (Apo.. raa• staled. n the balls 1 exeminalio the LI CENS E place, due o the DATE ad r y. Baled. 27D. SIGNATURE ND VILE F CERtIF f j .2. J 1/ t '7 Z. M E AN _P SON WHO CERTIFIED THE CAUSE 0 7 er rml 20. NAME AN Al)0flE OF P R 6E 0 EATH (ITEM 31) YP P 1 J. tee Burke, I4D., 324 East 10th Avenue, Salt Lake City, Utah 29. REGISTRAR'S SIGNATURE lE �r•- t OR R ESPIRATORY A I S EASES IN U OR T OM P L I E TIO 6T O NLY ON 1D THE EACH DO E OT ENTER THE MODE OF DYING, SUCH r ?Z_lwY LEIO DUE 10 (OR A A CONSEQUENCE DUE 101011 A5 A CONSEQUENCE OF): 604 Harry L. Gibbons, M.D., M.P.H. Director of Health VDEPUTYR STRAR ll .f� �O ,petFILE, 0 .10. N Veen lc 4, 2 AS CA DIA Approximate Interval 801004n Onset And Death. 336. WERE AUTOPSY FINDINGS AVAILABLE OF CAUSE OF DEATH? Yes No db 4 a �I 0 i