HomeMy WebLinkAbout973521liliance Title Escrow
PO Box 1367
Kemmerer WY 831 n 1
File No.: 204810
STATE OF WYOMING
SS.
COUNTY OF LINCOLN
I, Mary Susan tariff, being of lawful age and first duly swom according to law, upon my oath,
depose and state:
1. That I am of adult age, a resident of Lincoln County, Wyoming, 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 Warranty Deed dated
the 26 day of February, 1982, in Book 185PR on page 253, conveys unto Charles W. Albrecht,
Mary M. Albrecht, Mary Susan Griff and Charlotte Ann Johnson as Joint Tenants, the following
described property, to -wit: Exhibit "A"
3. That said Mary Maddalena Albrecht aka Mary M. Albrecht on the 10 day of May, 2011,
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 `B
4. That by reason of death of said Mary Maddalena Albrecht aka Mary M. Albrecht 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 Charles W. Albrecht, Mary Susan
Griff and Charlotte Ann Johnson continuously since the death of the said decedent.
FURTHER AFFIANT SAYETH NOT.
September 30, 20)3
Mary Susan Griff
State of Wyoming)
County of Lincoln)
The foregoing instrument was subscribed and sworn to me by Mary Susan Griff, this
day of S a 2013
Witness my h d officio eal
Notary Public
My Commission Expires:
County of
Lincoln
AFFIDAVIT TERMINATING ESTATE
z/o.z.4 45 r
Lori Kalan N tary Public
State of
Wyoming
My Commission Expires 2126/2015
+.s.■
053 «7
RECEIVED 10/1/2013 at 11:42 AM
RECEIVING 973521
BOOK: 821 PAGE: 537
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
CERTIFICATIO TAL RECORD
Lloyd Berentzen
Director/Health Officer
County/District Health Department
DECEDENT INFORMATION
Date of Death:
City of Death:
Age:
Place of Birth:
Armed Services:
)Spouse's Name:
Industry/Business:
Residence:
Mother's Name:
Facility or Address:
INFORMANT INFORMATION
Name: Susan Griff Relationship: Daughter
Mailing Address: 62 McGovern Avenue, Kemmerer, Wyoming 83101
DISPOSITION INFORMATION
Method of Disposition: Removal
Place of Disposition: South Lincoln Cemetery, Kemmerer, Wyoming
Date of Disposition: May 14, 2011
May 10, 2011
Logan
91
Glenco, Wyoming
No
Charles W Albrecht
Retail Store
Diamondville, Wyoming
Mary Foremmuto
Williamsburg Assisted Living
CERTIFICATE OF DEATH
State File Number: 2011005716
Mary Maddalena Albrecht'
Time of Death:
County of Death:
Date of Birth:
Sex:
Marital Status:
Usual Occupation:
Education:
Father's Name:
Facility Type:•
FUNERAL HOME INFORMATION
Funeral Home: Crandall Funeral Home
Address: PO Box 6, 105 East Center Street, Kamas, Utah 84036
Funeral Director: William W Ball
Date Issued: May 19, 2011
rivr
21:30
Cache
January 1, 1920
Female
Married
Secretary
High School or GED
John Cattelan
Nursing Home /Assisted Living
MEDICAL CERTIFICATION
Medical Professional Agnes Szpunar MD, Intermountain Budge Clinic, 1350 North 550 East, Logan, Utah 84341
CAUSE OF DEATH
Debility
Due to (or as a consequence of): Dementia
Other significant conditions: Coronary Artery Disease l
Tobacco Use: Non -user
Medical Examiner Contacted: Yes Autopsy Performed: No Manner of Death: Natural
This is an exact reproduction of the document registered in the State Office of Vital Statistics.
Security features of this official document include: Intaglio Border, V R images in top cycloids,
�u�y ultra violet fibers and hologram image of the Utah State Seal, over the words "State of Utah This
4;;...d document displays the date, seal and signature of the State Registrar and the County /District Health Officer.
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1 111111011 1 1 1 111 1 1 1III
k 1,py4 06.3112792
At 1\ A Janice L. Houston, State. Registrar
l it
Office of Vital Statistics
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wr,. ..mss!
0538
204810
EXHIBIT "A" 0539
Lot 10 in Block 9 of Town of Diamondville, Lincoln County, Wyoming as per the recorded plat