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BECE-IVED
LINCOLI, i COUNTY OLERK
AFFIDAVIT TERM OINT INTEREST
I, APRIl, McMURDO, being of lawful age and duly sworn accordi~
upon oath depose and say:
'2.
That MICHAEL RUUD was my brother until the time of his dear
September 27, 1999.
That by the Wyoming Certificate of Title No. 12-0191085 issued
21, 1999, as pertains to a 1977 GMC pick-up, VIN TKR1475321
to April McMurdo and Michael Ruud, a copy of the Wyoming titl
attached as Exhibit "A" hereto;
That Michael Ruud died on September 27, 1999. A copy of the c
Certificate of Death of the said Michael Ruud, having been certifi~
to law,
on
on June
94, titled
~cial
:d by a
public authority is hereby attached and made a part hereof as Exhibit "B"
and terminating his interest and title in the said vehicle.
I, April MCMurdo, sister of the decedent and the Affiant declares as
outlined herein, that the Clerk of Lincoln County should issue a n ~w title
solely to April McMurdo.
FURTHER, Affiant saith not.
DATED this /_.~ day of May, 2003.
STATE OF WYOMING ]
ISS'
COUNTY OF LINCOLN ]
A~R2L McMURDO
The foregoing AFFDAVIT TERMINAT~G JpINT T INTEREST
acknowledged before me by April McMurdo, this /o~"mday of May, 2003.
WITNESS my hand and official seal.
I{ Coun~of ~1~ st~teof I~
My Commission Expires: ,-~1 ~:/~ '7
was
NOTARY PUBLIC
WYOMING
OFFICE OF COUNTY CLERK
LINCOLN COLINTY
t<EMMERER, WY
TITLE NUMBER 12-0191085
FEE
6.00
DATE !iSSUED
;, 6/21/99
:t
CERTIFICATE OF TITLE
MV-301 (7/98)
2052082
EXHIBIT "A"
STATE OF UTAH- DEPARTMENT OF HEALTH r 7 ~'.;,! ~ ~
CERTIFICATE OF DEATH
18-4214
STAT
~Michael B'. '~;:'c 'i RUUD - ' Male Sept.27, 1999 [ 0545:
:9:~,~.?~?~.-~9,~,.:/:/ : 54 , . ~"'~ 0'vt "~{~ ....... Afton, Wyoming - 520~48-1802
8~:CITY,.~OWN OR LOCATONOF DEATH ed COUNTY OF DEATH ~ SURVVNOSPOUSE l~e. ..... ~ .... ) ~M~ ~
~'~s'a'iE'/:LakA. City ·Sal[ Lake ' ..... r
-,-,~ .... · , vann worthington I ~
~:'A:RMEOFOB~E~', ~ 1.Nave, Ma,dad ~2. Ma~rled : r : . ''
{(i;~2~,~:g~h 200 East #417 .' :..}:::h.] salt Lak~ City Salt Lake
1~. INSI~~ ]31: ZIp CODE 14, WAS DEGEDEN~ OF HISPANIC ORIGIN? ~ 5 RACE - Bilk. W~le, Am. Indmn ~ 6 EDUCATION [Specify uny h~hes~ grade
.?:~MIT5: ~ '. :::¢ (ilyes, S~cily) . ·' : ~t. Yes ~.No (h~m~enl~ed),Japanese. com~emd) Elemenla~yo~Secondary
:" ::~ .'' ?'~ 84115 :'"'' .: ,,:. (s~) m.~2) co,....3.~ o,
~:..~ ; O 2,0 . . O .~ ..... Ozcu~,. O3..~,~.~ O,.~(s~ ~ite 16+ .'
.' ~. ", j >: ,.;: Gladys Haderlie ' '~' :
.,.~o.~"f~ ':gA~':~k~'E~:;::~Wife) 1992 Sou~h".200 Ea~k ~417 Salt Lake City. Utah 841~S ':
h:::./? '~X-~'~'.' :. m Sepi 30' 1999 I P S Crematory SLC, Utah .':: ,
2~, SI~N~OR~NERAL~;~.~: , (~ : ~ ' ~ICENSEE NUMBER 2~. FUNERAL HOME (Name..dd,es, a~ I~ ~mberI '
· ~f~?;;:~;-:::~ n~', I.':48~b8 ~ INDEPENDENT PROFESSIONAL SERVICES :
~;": · """1 ,v~,i~,.,~.~,..~h.~,.~..~:u.mC~ I SALT L~E CITY. UT~ 84123
~:!:?f~;~;:)/~? , {17~::~;~ i ,..fi k , 1" -- To t)e fi~sl of my knowledgd, dsalh occur[sd al Ibc lime, date, and place, and due lo Ihe cause(s) and ma'n~er as ~laled.
-~:~;~,'~;!~,;~ ~?.; I 2~b~ SIGt. IAi~RE AND ~[TLE OF CE~T F ER ~5 ~ ' '" 27c [ CENSE NUMBER 27d DATE S GNED (~o ~aK Y~)
~a; ~AME ANo ~ODRESS OF pERSON WHO CERT F ED T ~E CAUSE OF DEATH (l~J 3 ) 'T~ P~ { ( '
f.P., 500 Footh~]~ Blvd.. Sail Lake E~ty, UT 84148 ·
:':: ;"Y .':;'""~ ' / :: ' '~ September' 30~"1999
~ 'PA~T:i:E~TEnTH~Di~A~UmES O~OMPLCATONSTHATCAUSEOTHEDEA,, OO NOT ENTER THE MOOE OF OYiNG '"~H
"?? .~ RE~,~ ?~R~ AR~, SHOCK. OR HEART FAILURE' ~ ST ONLY ONE CAUSE ON EACH L NE. I Bem-,eenr ~n.., .... an~
,~;...-~ erebrovascu]ar accident , ~ d__-
Hyocard~a] infarction' ~ da -
:~:~:~;:/: '~R~IL'OI~e Si~iJlc~nlCohdil~nscDn bulngtodealhbulnol.. 32 NYOUROPNON TOBACCOU ' ' :
"' ": ~:: :~ 3: Suic.~.; j:~ :j?' ~;''~ ~' ;~ ~;~;~~a~' ~' ~" '':' 35e. LOCATION (gt,bG~ ut cu~el ~u~e hu~?, cflybr Io~, co~y a,d slam.) 351 II molo¢ vehicle accidenl specify ~ duceden was
' ~;'1~:~:~:~:~'~:~'?¢' 35g DESCRBEHOW NJURY~CUR~ED ' ................... h .... d n nu NATURE OF N JURY SH
true copy of the Certificate on file in this office. This certified copy is issued
ah Code Annotated, 1953 As Amended.
Barry 15'. ~anCe
DIRECTOR OF VITAL RECORDS
* 0 i 2 4 2 5 3 6' *
DEATH
' S '-- OF 0TAH - DEPARTMENT OF HEALTH
· 'AMENDMENT OF MED CAL AND HEALTH SECTION DATA - DEATH
Middle Name STATE ~)6 7
Las~ Name 1 2a DA
. ?E OF DEATH - Monlh Day Year
chael B', Ruud . September 27~
salt Lake City ' ' Salt Lake · ~
COMP'LCA~'iONSTHA~-CAOSEDTHEOEATH ~N~-- I aepcem..ber; 30, 199(
~ 4 :d~,ys
o~m o.~s~c~s~c~o~. ~ ' 2 da~s
DUE TO (OR AS A CONSEQUENCE OF):
Part I
TOBACCO USE BY THE DECEDENT
Probably contrJbuled Io Ibc cause ol dealh O 5. NON-USER
35b. TIME OF INJURY
AUTOPSY
PERFORMED?
IF USER ~(1.Yes [] 2. NC [~ 2. No
office, building, elm
IN ITEM 3
..
PHYSICIAN OR MEDICAL EXAMINER HAVING PER
r,fpe)
vlIHER CASE NUMBEP :'
7c. ADDRESS - Slcaeb Clly, and Slate and Zip Code ' '
.500 Footh±11 Blvd. Salt Lake C±ty.i Ui~" 84148
I/ilal Records I ab. OATEACCEPTED
December 23~.'1999
true Copy of the (~ertificatek~n ~'ile'in this office. This certified copy is issued
6-2-22 of the Utah Code .Annotated, 1953 As Amended.
· .'::i, Bar[yEiNangle
- -' ~:iDIRECTOR OF VITAL RECORDS
· 0 i 2 4 2 5 3 8 ·
EXHIBIT "B"