HomeMy WebLinkAbout974473THE STATE OF WYOMING
COUNTY OF LINCOLN
AFFIDAVIT OF SURVIVORSHIP
ss.
RECEIVED 12/11/2013 at 11:3(
RECEIVING 974473
BOOK: 825 PAGE: 180
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
The South Half (S1/2) of Lot Numbered Nine (9) and Lot Numbered Ten (10) in Block
Numbered Fifty -Eight (58) in the Second Addition to the Town of Kemmerer,
Lincoln County, Wyoming as described on the official plat thereof.
1
0
WILLIAM F. ABRIANI, being first duly sworn upon his oath, deposes and states as follows:
1. On or about the 31st day of October, 2013, FRANK ANTHONY ABRIANI, a/k/a
FRANK A. ABRIANI, died, as is evidenced by the official certificate of death attached hereto and
incorporated herein by this reference.
2. At the time of his death, FRANK A. ABRIANI jointly owned certain real property
with William F Abriani and Jane Marie Kliest, said real property being located in the County of
Lincoln, State of Wyoming, and more particularly described as follows:
3. Said real property interest was originally conveyed to Frank A. Abriani, Lela I.
Abriani, William F. Abriani and Jane Marie Kliest, as joint tenants with full rights of survivorship,
by Warranty Deed dated October 19, 2004, and recorded in the Office of the Lincoln County Clerk
and Ex- Officio Register of Deeds on October 20, 2004, in Book 570 at Page 409.
4. By reason of FRANK A. ABRIANI'S death, William F. Abriani and Jane Marie
Kliest, became the sole owners of the above mentioned real property, as joint tenants with full rights
of survivorship.
DATED this 2
My Commission Expires:
day of td Flr �/NQ�;'ry.,2013.
Notary ublic
ueLlc
COUNTY OF
LINCOLN
MY Commission Expires
2
0+81
WILLIAM F. ABRIANI
SUBSCRIBED AND SWORN to and acknowledged before me this °S day of
``s'1 o v'sw,► r 2013, by WILLIAM F. ABRIANI.
WITNESS my hand and official seal.
STATE of
WYOMING
CERTIFICATION
TAL RECORD
c o
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
car�e?S /M&,A;Lc..
James McBride
Deputy State Registrar
Decedent:
Narne:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death:
City of Death: Kemmerer
Location: 1207 Cedar Avenue
Additional Decedent Information:
Place of Birth:
Residence:
Marital Status:
Armed Forces:
Narne of Father:
Name of Mother:
Informant:
Disposition:
Method of Disposition:
Place of Disposition:
Funeral Home or Facility
Facility:
(a) Gunshot Wound to the Head
Other Significant
Conditions:
Manner of Death:
Injury Information:
Of Injury:
Injury At Work?
Location:
Description:
Certifier:
Type:
Name:
Address:
Date Filed:
7345.76'
Frank Anthony Abriani
Male
June 30, 1925
October 31, 2013
Oakley, Wyoming
Kemmerer, Wyomingj;
Widowed
Yes
Battista Abriani
Catrina Corradin
William Abriani
Burial
South Lincoln Cemetery, Kemmerer, Wyoming
Ball Family Chapel, Evanston, Wyoming
Cause of Death:
The immediate cause is listed on the first line followed by any underlying causes.
Suicide
Coroner
Cliff Boyd, Deputy
274 N St, Box 57, Grover, Wyoming, 83122
November 1.8, 2013
This is a true certification of the document on file in the office of Vital
Statistics Services, Cheyenne, Wyoming.
DATE ISSUED: Wednesday, November 20, 2013
;This copy :is not :valid unlesy.prepared on..paper with an engraved border.
State File Number:
Social Security Number:
Age at the Time of Death:
County of Death:
Relationship:
Time of Death:
October 31, 2013 (Actual) Time Of Injury:
No
1207 Cedar Avenue, Kemmerer, Wyoming
Self Inflicted Gunshot Wound to The Head
2013- 003497
88 years
Lincoln
Son
Interval:
01:56 (Actual)
01:56 (Actual)