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HomeMy WebLinkAbout890251 890251 AFFIDAVIT OF GAIL M. STOOR STATE OF ARIZONA ) County of Pinal ) BOOK '~-~'~ J-pR PAGE ~ 7 7 GAIL M. STOOR, being first duly sworn upon oath deposes and states as follows: That she is the widow of.lack H. Stoor wh© died on l~/._ day of~ , l'~g, ff That your Affiant is the sole heir, and devisee, and successor of Jack H. Stoor. 3. That your Affiant has attached hereto a copy of the death certificate of Jack H. Stoor. DATED this /~,z_' day of Adg,..,4s% 2002. GAIL M. STOOR SUBSCRIBED AND SWORN TO before me the undersigned notary on this//day of 200-2. ', 0o 1 N'0TA~~LIC Residing at: ~/',~d) Mv commission expires: C:\NolaC\Stoor, Gary~Affgail.wpd STATE STATE OF ARIZONA NO CASA ~LANDE ,~. USA IZONA D 102- INSIDE CITY LIMITS? (SPECIFY Ye. or No] B. MIDDLE 98-0135[ 215 S. IF YES: INDICATE MEXICAN CUBAN. ETC. (SPECIFY YE ~E(~%O R NO) CASA GRANDE MEDICAL CTR MARRIED· NEVER MARRIED. SURVIVING (IF WIFE. GIVE MALDEN NAME) WIDOWED. OlVORCED (SPECIFY)SPOUSE · MARR~E~ ,o. GAIL MARIE HO~v~L USUAl. OCCUPATION (GN'e kind OI work ?-7571 ,.AD3CIDR OF C.~qA ON RESERVATION PREVIOUS STATE (oq2) :IDAHO 1 2 STOOR JENNIE ~ AVERTT;T, SERENLTY iCITY AND STATE 'C~SA GRANDE, AZ i.... HOUR OF DEATH OTHER THAN CERTIFIER.f[yp~ or pdp0 MEDICAL EXAM[I iF;VITAL RECORDS, DEPARTMENT OF HEALTH · F2029106 :-..: not valid umess prepa CATHY. A. ASSISTANT STATE REGISTRAR and imp~'essed with I _