HomeMy WebLinkAbout974856I, Weldon Vern Perry, being of lawful age and duly sworn according to law, upon my oath,
depose and state:
That under the date of July 10, 1995, for valuable consideration, Ralph Davis Leavitt, Trustee of the
Ralph Davis Leavitt Family Trust dated June 18, 1993, by deed of that date, which deed was duly filed of
record in the Office of the Lincoln County Clerk, on July 31, 1995, in Book 371PR, Page 508, conveyed to
Weldon Vern Perry and Wanda Joyce Perry, husband and wife as tenants by the entireties, the following
described land, in the County of Lincoln, State of Wyoming, to -wit:
The SW1 /4 of the SE1 /4 of Section 16, T32N R119W of the 6th P.M., Lincoln County, Wyoming.
ALSO, part of Section 16, T32N R119W of the 6 P.M., Lincoln County, Wyoming, more particularly
described as follows:
Beginning at the Southeast corner of the NW1 /4SE1 /4 of said Section 16 and running thence West 506 feet;
thence North 528 feet, more or less, to the South edge of an existing lane as described in Right of Way
Easement recorded October 9, 1981 in Book 181PR on page 487 of Official Records of Lincoln County Clerk;
thence East 506 feet, more or less to the West boundary of the right of way of the Afton- Auburn Road and
existing fence line;
thence South 528 feet, more or less to the place of beginning.
LESS AND EXCEPT the following described land:
Commencing at a point which is 2 rods South from the center of Section 16, T32N R119W of the 6th P.M.,
Lincoln County, Wyoming, and running thence South 5o rods;
thence East 8o rods;
thence North 5o rods;
thence West 8o rods to the point of beginning
LESS AND EXCEPT lands subsequently conveyed by deed recorded April 3o, 2002, at Book 488PR, Page
427 and deed recorded April 19, 2006, at Book 617, Page 357 in the Official Records of Lincoln County Clerk
That by reason of said conveyance aforesaid, the said Weldon Vern Perry and Wanda Joyce Perry
became the owners of said real property, and the title thereto vested in them continuously from the date of
said conveyance, to the date of death of Wanda Joyce Perry, on the 18th day of June, 2013. That by reason of
and upon the death of Wanda Joyce Perry, title in the above described real property vested in Weldon Vern
Perry.
Affiant avers and certifies Wanda Joyce Perry, is the identical party named with Weldon Vern
Perry, in the aforementioned deed, whose death terminated her interest, title and estate in said real
property; and Affiant attaches hereto, and makes a part of this affidavit, a copy of the Official Certificate of
Death of said decedent, duly certified by the public authority in which said death certificate is a matter of
record.
State of Lo ti DM u 1
f ss.
County of r1 c,DL
.:t: .,g> and sworn to before me, a notary public in nd for said County and State, by Weldon
i °g 1"1ts. ;a�, day of
Ci1 I ::l, 1l 20 P t
coumz )NITNE S;r hand and official seal.
Dated this day of 20/
sec, t %t e
M i Expires:
L P )5 �ILk
This Document is being recorded by
Rocky Mountain Title Insurance Agency
of Lincoln County as a COURTESY only
Affidavit of Survivorship
We don Vern Perry
Notary Public
0450
1
fr CERTIFICATION OF VITAL RECORD
DECEDENT INFORMATION
Date of Death: June 18, 2013
City of Death: Woodruff
Age: 60
Place of Birth: Huron, South Dakota
Armed Services: No
Spouse's Name: Weldon Vern Perry
Industry/Business: Own Homes
Residence: Woodruff, Utah
Mother's Name: Audrey Elsie Keller
Facility or Address: 260 South Main 'Street
INFORMANT INFORMATION
Name: Weldon Vern Perry Relationship Husband
Mailing Address: 260 South Main Street, Woodruff, Utah 84086
DISPOSITION INFORMATION
Method of Disposition:Burial
Place of Disposition: Woodruff Cemetery, Woodruff, Utah
Date of Disposition: June 26, 2013
FUNERAL HOME INFORMATION
Funeral Home: Crandall Funeral Home
Address: PO Box 6, 105 East Center Street Kamas, Utah 84036
Funeral Director: Gregory J Crandall
MEDICAL CERTIFICATION
Medical Professional: Todd C Grey MD, Office of the Medical Examiner, 48 N. Mario Capecchi Dr., Salt Lake City, Utah
84113
CAUSE OF DEATH
Pending
Tobacco Use: Unknown if User
Medical Examiner Contacted: Yes Autopsy Performed: Yes Autopsy Available:; Yes Manner of Death: Pending
Date Registered: June 24, 2013
Date Issued: June 24, 2013
Waal i' i AI vi lJl 1alt wa 1 my X 33. ;°'cira
CERTIFICATE OF DEATH.
State File Number: 2013007985
Wanda Joyce Perry
O45!
Time of Death: 10:20 (Found)
County of Death: Rich
Date of Birth: January 7, 1953
Sex: Female
Marital Status: Married
Usual Occupation: Homemaker
Education: 9th Through 12th Grade
Father's Name: William Fred Palmer
Facility Type: Home
This is an exact reproduction o 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,
ultra violet fibers and hologram image of the Utah State Seal, over the words "State of Utah This
document displays the date, seal and signature of the State Registrar and the County/District Health Officer.
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r fl OF T$E AI, 1,14,
:a s',' 0111 Il�lI 11 lil `■low y r�
Janice L. Houston, State Registrar i l!!
Director/Health Officer epartmeii
Office of Vital Statistics County/District Health Department !i,) r
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