HomeMy WebLinkAbout975099I, Laura Huffman Heitzman, being of lawful age and duly sworn according to
law, upon my oath, depose and state:
That under the date of September 16, 2008, for valuable consideration, Leo M.
Huffman, by deed of that date, which deed was duly filed of record in the Office of the
Lincoln County Clerk, on September 16, 2008, in Book 705, Page 86, conveyed to Leo M.
Huffman and Laura Huffman Heitzman, as joint tenants with full rights of survivorship,
the following described land, in the County of Lincoln, State of Wyoming, to -wit:
Lots Sixteen (16), Seventeen (17) and Eighteen (18) of Block Thirty (30) in the Town of
Diamondville, Lincoln County, Wyoming as described on the official plat thereof,
together with all buildings, improvements and appurtenances thereon situate or in
anywise appertaining thereto
That by reason of said conveyance aforesaid, the said Leo M. Huffman and Laura
Huffman Heitzman 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 Leo M.
Huffman, also known as Leo Millard Huffman, on the 3oth day of December, 2013. That
by reason of and upon the death of Leo M. Huffman, also known as Leo Millard
Huffman, title in the above described real property vested in Laura Huffman Heitzman.
Affiant avers and certifies that Leo M. Huffman, also known as Leo Millard
Huffman, is the identical party named with Laura Huffman Heitzman, in the
aforementioned deed, whose death terminated his 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.
Dated this 1 day of
State of Wyoming
ss.
County of Lincoln
Affidavit of Survivorship
C0../"UsitM
20
aura Huffma Heitzman
Subscribed and sworn to before me, a notary public in and for said County and
State, by Laura Huffman Heitzman, this a( day of ®..111
2014.
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ov l mituf WITNESS my hand and official seal.
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Relationship:
72 years
James McBride
Deputy State Registrar
2013 004147;
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Other:.Significant
Conditions:
Manner of Death:
Injury Information:
Date Of Injury:
Injury At Work?
Location:
Description:
Certifier:
Type:
Name:
Address:
Date Filed:
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CERTIFICATIO
STATE OF WYOMING
DEPARTMENT OF HEALTH
Leo Millard Huffman
Male
October 13, 1941
December 30, 2013
Diamondville
902 Diamondville Ave.:
mation:
Greenbriar, Arkansas
Diamondville, Wyoming
Widowed
No
William Theodore Huffman
Ethel Andrews
Laura Huffman Heitman
This copy is not valid unless prepared on paper with an engraved border.
CERTIFICATE OF .DEATH
This is a true certification of the document on file in the office of Vital
Statistics Services; Cheyenne, Wyoming,
DATE`ISSUED: Tuesday, January 21 :2014
Decedent:
'Name:
Gender:
Date of Birth:
Date and Place of Death:
Date of Death:
City:of'Death:
Location:
Additional Decedent Infor
Placer of Birth:
Residence:
Marital Status:
Armed Forces:
Name of Father:
Name of Mother:
Informant:
Disposition:
ethod of Disposition: Cremation
iace'of Disposition:
Funeral Home or Fac ility:
Facility:
Cause:: of Death:
The immediate cause is listed on the first line followed by any underlying causes.
(a) Gunshot to the Head
UFD Cremation Center, South Jordan, Utah
Ball Family Chapel, Evanston, Wyoming
Coroner
Cliff Boyd, Deputy
274 N St, Box 57, Grover, Wyoming, 83122
January 15, 2014
State File Number:
Social Security Number:
Age at the Time of Death:
County of Death:
Suicide Time of Death:
Time Of Injury':
December 30, 2013 (Actual)
No
902 Diamondville Ave, Diamondville; Wyoming
Victim shot himself in the head
Approximate' 07:00 +_1hr
Approximate! 07:00 ±l hr
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