HomeMy WebLinkAbout890519zo' d q~lOi
THE STATE OF 'WYOMING
THE COUNTY OF CLARK
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8905t9
PR PAGE
LINr'r~' tq CC
uu, .........CLERK
A?FIDAVIT TERMINATING ESTATE BY
JOINT TENANCY
Helen F. Labadie being of lawful age and first duly sworn according to law, upon my oath,
depose and state:
1. That George C. Labadie died on May 3, 1990 in Las Vegas, Nevada.
2. That on December 6, !9.31 for valuable consideration Leisure Valley, Inc. by its
Warrant3, Deed of that date, which deed was duly filed for record in [he Office of the Lincoln
Counb/Clerk on December 9, 1981 in Book 184PR on [:.age 185, conveyed unto George C. Labadie
and ttelen F. Labadie, Husband and Wife as joint tenants, the following described real property, to
wit:
L0~: 25 of Amended Plat of Star Valley Ranch Plat !, Lincoln County, Wyoming as described
on the Plat No. 427346 of Lincoln County official records,
3. That by reason of the said conveyance, George C. Labadie and Helen F. Labadie
became the owners of the real property as joint tenants ]nd title thereto vested in them continuously
from said date of conveyance as described in said Warranty Deed, until the date of death of George
C. Labadie on May 3, 1990 at which time title to the above described real property vested absolutely
in Helen F. Labadie in accordance with the provisions of §2-9-102, W.$. (1980}.
4. Affiant avers and certifies that deceased i.~ the identical party named with Affian! In
the aforementioned deed whose' death terminated his interest, title and estate in the said real
property; and Affiant attaches hereto and makes a pad of this Affidavit a copy of the official
certificate of death of decedent, duly certified by' the public authority in which said death certificate
is a matter of record.
Dated this /cz of June, 2003.
Helen F. Labadie
State of Nevada
County of Clark
)SS
The foregoing instrument was subscribed and sworn to me by Helen F. Labadie this __
day of June., 2003.
Not~~a 'Public
002203
LOCAL FILE NUMBER
Beorge
CI1W, TOWN, OR LOCATION OF DEATH
3b.
RACE--(m.~., While. Black, Amer.::an
STATE OF NEVADA -- DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH -- SECTION OF VITAL STATISTICS
--'] CERTIFICATE OF DEATH [--
STATE F~LE NUMBER
L., { { COUN~ OF ~^TH
C. LABADIE z Ray 3, 1990 3. Clark
RESID[~E--STATE
Eli ~bmdie~ ,~ ~arie Anna Daniels
~len F ~bmdie -Wi~e ,a~.~ P~oa Nay ~a V~am Nevada 89121
C~e~tion . ,~. Palm C~tory l,~.~a Vegas Nevada
~c#~ as ouc~ ) // LICENSE NUMBER /
2~ Mi~el L. Gross M.D. 1750 E. ~sert I~ Rd Las V~ Nevada ~. ~5398
DUE TO, OH AS A C~SEQUENCE OF: ;, : Inm~al ~lw~n ~s~ an0 dealh
PART OTHER SIGNIFICANT CONOITK)I*4S--Com:~iIkulS conl/ibuting Ia death bul nOl reviling ~n the u~dyi~ ~u~ giv~ ~ P~ I AUTOPSY (S~ WAS CASE REFERRED TO
II''·26N O Yes ~ ~) CORONER (S~i~ Yes ~ No)
INJURY AT WO.K P~CE OF JNJURY--~ ~ ~ ~ ~ ~ J L~ATION STn ........
(Sp~i~ Yes . ~) I ~,'~. (~ , [ cc. u. mru No CI~ OR TOWN STA~E
28. 128, [28~ .
STATE REGISTRAR NO. 01 5 6 5 2
"CERTIFIED TO BE A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE WITH THE REGISTRAR oF
VITAL STATISTICS, STATE OF NEVADA." This copy was issued by the Clark Cotmty Health District from State
certified documents as authorized by the State Board of Health pursuant to NRS 440.175.
NOT VALID WITHOUT THE
RAISED SEAL OF THE CLARK
COUNTY· HEALTH DISTRICT
DONALD S. KWALICK, MD, M.P.H.
Registrar of Vital Statistics
Date Issued: MAY 2 0 2003
-CLARK COUNTY HEALTH DISTRICT
625 Shadow Lane P.O. Box 3902
Las Vegas, Nevada 89127
702-383-1223
Tax ID# ~o.~151573