HomeMy WebLinkAbout975596SS.
COUNTY OF LINCOLN
STATE OF WYOMING
WITNESS my hand and official seal.
975596 3/13/2014 9:43 AM
LINCOLN COUNTY FEES: 18.00 PAGE
BOOK: 829 PAGE: 61 AFFIDAVIT
JEANNE WAGNER LINCOLN COUNTY CLERK
1111111111111 1111 1111111 11! 11111111111111111111111111
AFFIDAVIT OF SURVIVORSHIP
I, LUCY WILKES, being duly sworn under oath, state as follows:
1. That Murray M. Wilkes had tenancy by the entireties, as husband and wife, with me in
land in Lincoln County, Wyoming, more particularly described in the Warranty Deed that was recorded in
the Lincoln County, Wyoming land records in Book 173 PR at Page 643 on March 9, 1981 as Instrument
No. 553998. Attached hereto is a copy of that Warranty Deed.
2. That Murray M. Wilkes died on February 28, 2002. Attached hereto is an original copy
of the Certificate of Death issued by the State of Wyoming for Murray M. Wilkes.
3. That pursuant to Wyoming Statutes 2 -9 -102, I certify that the tenancy by the entireties
of Murray M. Wilkes has been terminated by his death and that title to that portion of the above
referenced land not previously conveyed by Murray M. Wilkes and Lucy Wilkes is now titled in the name
of Lucy Wilkes, a single woman.
DATED this I day of March, 2014.
ACKNOWLEDGED, SUBSCRIBED AND SWORN TO before me on this day of
March, 2014 by LUCY WILKES.
ANNEITE 1 CASSITY NOTARY PUBLIC
OF STATE OF
COUNTY OF WYOMING
LINCOLN
My COMMISSION EXPIRES FEBRUARY 26, 2017
ommission expireO I
(4 ,-er
1 LUC WILKES
1OF 3
3101 Lincoln County Clerks
MURRAY M. WILKES and LUCY WILKES, Husband and Wife,
GRANTOR, of Afton., Lincoln County, Wyoming; for and in consider-
ation of Ten Dollars ($10.00) and other good and valuable consider
ations in hand paid, receipt whereof is hereby acknowledged,
CONVEY AND WARRANT TO: MURRAY M. WILKES and.LUCY WILKES, Husband
and Wife, as tenants by the entirety, GRANTEE, of Afton, Lincoln
County, Wyoming, the following described real estate, situate.
in Lincoln County and State of Wyoming, hereby releasing and
waiving all rights and by virtue of the homestead exemption.
laws of the•State; to -wit:
BEGINNING at the Northwest Corner of the South-
west Quarter of the southwest Quarter (NW Cor.
SWQSWa) of Section Twenty -four (24)'in Township
Thirty -two (32) North, Range 119 West of the
Sixth Principal Meridian, and running thence
South Seventy -seven (77) rods; more or less to
the South edge of Swift Creek;•thence South-
easterly.meandering along the :said South edge of
Swift Creek, Fifty -six (56) rods more or less;
thence North Twenty-eight (28) rods; thence Ea•3t
twenty -four (24).rods, more or less to the East
side of the said SW;SW; of said Section 24;
thence North along said subdivision line'
Sixty -eight (68) rods; thence West Eighty (80)
rods; to the place of beg.inning,.together with
improvements and water rights, being 41 acres,
more or less
WARRANTY DEED
Witness our hands this 4e day of 9,
MURRAY M. WILKES
LUCY WILTXES
STATE OF WYOMING.
SS..
.Pvog0T AO
The:foregoing instrument was acknowledged before me
...11,Y_MUBRAY M. WIL and J.UCY. WILKES,. Husband and Wife, this
1.day of 1981.
Witness:nly. hand and official seal.
16:39;47 03 -05 -2014
RECORDED 1147r...9,..19 &1 ;•:r 9.O..tii,
IN co g< 1732R.t. -'6,y. ._°:,vivo,
a
1981.
1/1
TAL RECORD
PARENTS
CERTIFIER
This is a true and exact reproduction of the document on file in the office of Vital
Records Services, Cheyenne, Wyoming.
DATE ISSUED:
This copy it not valid unless prepared on paper with an engraved border displaying the date, seal and signature of the Deputy. State Registrar
XL 4 203
VR 2 -89
11/99 15M
3
LOCAL FILE NUMBER
oft TYPE PRINT
Y 1. DECEDENT -NAME FIRST
PERMANENT
4. SOCIAL SECURITY NUMBER
MURRAY
FOR
INSTRUC1IONS
.SEE 7e. PLACE OF DEATH (Check only one)
HANDBOOK
HOSPITAL, 0 Inpatient O ER /Outpetient DOA 10.111 0 Nursing Horne ¢ii ne.urK. 0 Omer (SPocOY)
75. FACILITY NAME (0 not Institution, pm strode and nrmbv) 7e: CITY. T0'M9, OR LOCATION OF DEATH
800 SWIFT CREEK LANE AFTON
8. STATE OF BIRTH (11 no/ 41 USA.. nrM country)
WYOMING:
11. WAS DECEDENT EVER IN U.S. ARME0 FORCES?
fSp.lfyy o 0, 001
13. RESIDENCE STATE
WYOMING
130. INSIDE CITY LIMITS?
(Specify ys or no)
YES
19L INFORMANT -NAME (Type Or MOD
LUCY WILKES
IMMEDIATE CAUSE (Final
drew or condition
resulting in death) a
Acd0et11
Snip:. EiCould not be
Determined
Homicide
210906
STATE OF WYOMING
DEPARTMENT OF HEALTH
STATE OF WYOMING
DEPARTMENT OF HEALTH
CERTIFICATE OF DEATH
NO
135. COUNTY
LINCOLN
MIDDLE
M
6a. AGE- U01Birthday
(Years) 84
9. MARRIEO,NEVERMARRIED,
WIDpNED, DNO:ICED (Specify)
MARRIED
14. MMS DECEDENT OF HISPANIC ORIGIN?
(Specify no or you M yea, pacify
Cuban, Mexican. Puerto Mean. Et0)
Nom' Ye.O (smetf l
17. FATHER'S NMIE Fkst Middle Last
WILLIAM EDMUND WILKES
190. MAILING ADDRESS STREET 05 R.F.D. NUM8ER
800 SWIFT CREEK LANE
DUE TO (OR AS A CONSEQUENCE OF):
Malta
LAST
WILKES
540, UNDER 1 YEAR
Days
10 SURVMNG'SPOUSE (0 Mkt, pre' nrldan 0009)
LUCY BARRUS
l2a. USUAL OCCUPATION (Dire kind of 5.l* don. Make moat
;et wollrkp (5'. wan. K retired)
OFFICE MANAGER
130 CRY, TOWN OR LOCATION
AFTON
24. NAME ANO ADDRESS OF CERTIFIER (PHYSICIAN OR CORONER /MOW or A*4)
0. D. PERKES MD. 110 HOSPITAL LANE
REGISTRAR 2"
Issmani
PAM I. Enter the theme., Imola. or corn o k.tipq mat caused death. Do not enter the mode d ing. such as cardiac
2 or r.plralory angst. Mooch, 00 Mart Idols. UM anly one cause an .ace 9,.e:
2 6lEo✓1 iFr c>cc (107 tn
DUE TO (OR AS 'A CONSEQUENCE OF)
cause. Eno UNDERLYING 0
thin hirrrod events
resulting in own) LAST DUE TO (OR AS A C.ONSEOUENCE OF):
PART 9. OTHER SIGNIFICANT CONDITIONS- Co.daions contributing to death but not related to cause given In PART I.
j U b CIA I Ce Ca,
29. MANNER N p 44 30e. DATE OF INJURY 306. TIME OF 30c. INJURY AT WORK?
(AWOL 00, Yea) INJURY (Specify yes or no)
0:wrung El Pendk9
Investigation
M
30e. PLACE OF INJURY -At halt, Ian. WOOL NOW( y.
office building. Mc. (Smugly
2, SEX
MALE
5e. UNDER.' DAY
Minh„
CITY OR TOWN STATE
AFTON WYOMING
134. STREET ANO NUMBER
STATE FUE NUMBER
3. DATE OF DEATH (Ala, Dry, n.)
FEBRUARY 28', 2002
9. DATE OF BIRTH (Ma.. Dry, nJ
SEPTEMBER 21, 1917
125. KIN0 OF BUSINESS OR INDUSTRY
7d. COUNTY OF DEATH
LINCOLN
DEPARTMENT OF AGRICULTURE
800 SWIFT CREEK LANE
15. RACE-American Indian, 16. DECEDENTS EDUCATION
Black, Whet, Ete. (Specify 99y N9hst pde 0..4040404)
WHITE Elmee y /Soeandsey (0-12) CONDO (1- 4 er5
16. MOTHER'S NAME Fast Middle Maiden Surname
ELIZABETH MOFFAT
195. RELATIONSHIP TO DECEDENT
SPOUSE
2)P CODE
83110
200 904.4' Cremation.: RMnNaI 20b DATE (Ala, Day, Y.) 20c. CEMETERY OR CREMATORY-NAME 20d. LOCATION CITY OR TOWN STATE
hem S4040. Other (Specify)
U' AL MARCH 4, 2002 AFTON CEMETERY AFTON WYOMING
I a FUNERAL E1DeEN$EE Or Person Act lnp Number 21b, NAME OF FACI Number 21c.; ADDRESS OF FACILITY
M Such
SCHWAB MORTUARY 45 44 EAST FOURTH AVE., AFTON
220 To .1M best of my th y I date p la5d and due 230 On the bask b mlan4n0kn and/or b.M99900 In my opinion death occurred
0&15. nMkefo) mood. a l 1st Ike, data endplate And due o the olrala1Ma406
(goatee end TMs) A 1 0 z... moon d 7700)
226 DATE'SIND'I (Mo.. r Yr) 2 o HOUR OF DEATH 3 23b. DATE SIGNED (Ala. DM, n.) 230 HOUR OF DEATH
Nl11`!'Q.- cq.r 02... 8:00 A M a
224. NAME OF ATTENDING PHY9ICMN IF OTHER THAN CERTIFIER (rye. or std) sg 23d. PRONOUNCED DEAD (Mo
AFTON, WYOMING 83110
25b. DATE RECEIVED BY REGISTRAR (NO.. Dry, nJ
--Er -d 7.-
23e. PRONOUNCED DEAD (Now)
Interval Between
Onset and Death.
l
27. AUTOPSY (Specify 28. ?IRS CASE REFERRED TO CORONER
yes or no) (Sp.tlty yes or no)
304. DESCRME HOW INJURY OCCURRED
Lucinda McCaffrey
Deputy State Registrar
NO
301. LOCATION (Street and Number or our Route Number, City or Teeet, Stets)
M