HomeMy WebLinkAbout894017I~OOK~3T PR PAGE, 0 t 3
STATE OF WYOMING
COUNTY OF WASHAKIE ·
AFFIDAVIT 8~J~y,?ORSHIP
SS.
RECEIVED
klNOOLN COUNTY OLERK
03 OCT-! AHIO:21
Pursuant to W.S. 2-9-102, Sally Cullen-Robinson, of 1913 Sage Crossing, Worland,
Wyoming 82401, granddaughter of Grace M. Cozzens aka Grayce Marggret Timmreck
Cozzens ("Grace M. Cozzens") mentioned herein and a person interested in the affected
property described below, upon her oath deposes and says:
1. That the decedent mentioned in the attached copy of Certificate of Death is
the same 3erson as Grace M. Cozzens, named as one of the grantees in that certain
Warranty Deed dated the 28th day of June, 1946, executed by Mrs. Pete Etcheverry and
Pete J. Etcheverry, wife and husband, grantors, to John D. Cozzens and Grace M.
Cozzens, husband and wife and to the survivor as tenants by the entireties, grantees, and
recorded August 12, 1946, as Ins't'ru~nent No. 167487 in Book 26 of Deeds, page 34, of the
Official 'Records of Lincoln COUnty`, Wyoming, conveying the: folloWing desCribed real
prOperty located in. Lincoln County, Wybming, to-Wit: ' ' ' ~
:,
The East one-half (E1/2) of Lot numbered Three (3) and the West eighty-
seven and twenty-eight one hundredths (87.28) feet of Lot Numbered Four
(4) in the Stoner Kinney First Addition of Block Numbered One (1) in the
Town of Cokeville, Lincoln County, Wyoming, as surveyed, platted and
recorded. Together with all buildings and improvements thereon.
That the undersigned affiant having knowledge and the facts, knows that Grace M.
Cozzens aka Grayce Marggret Timmreck Cozzens is the same identical person as Grace
M. Cozzens, named as one of the grantees in the above-described Warranty Deed, that
John D. Cozzens and she were husband and wife at the time of the execution and
recording of the Warranty Deed described above, and that as the surviving spouse of
Grace M. Cozzens named in said conveyance, John D. Cozzens became on JUly 2,'1979,
the date of the death of the aforementioned decedent, the owner of the lands or'the owner
1
014
of any interest of Grace M. Cozzens in the lands described in the foregoing, subject to any
then existing liens and encumbrances.
EXECUTED as of this 10th day of September, 2003.
Sally ~Sullen-F~obinson
S~ed and sworn to before me by Sally Cullen-Robinson, this
,2003.
Witness my hand and official seal.
~SIMM~-NOI~
II C0unty 0f ('_¢"~1~ Stata of
II Washqkie ~ Wyomic~
My commission expires:
day of
~P~BLIC
2
STATE OF IDAHO
..... CERTIFICATION OF FACTSOF DEATH
Date Filed JULY 17 1979' 5¢7 :~?'7?/:T: '~' :i ':- ' '
_ , _ -.'-- - :: . -. _ Slate File No. 1979 - 0 O 5102
A~
GRAYCE MARGGRET TIMMRECK'i COZZENS J 78 YEARS
JULY 02, 1979
MINNESOTA
"MONTPELIER, IDAHO
EE~ ALE ......
-WAS DECEDENT EVER.IN;
~-0 M I NC
CARL W. TIMHRECK
ANNIE ANDERSON
COKEVILLE CEMETERY]'~!,i'COKEVILLE, WY
MATTHEWS MORTUARY
L:i~... J- .-¥?~:.:,~.d---~:
....: "- 4 ~]-.=-Zf%'::F~'-:
:'"~ "~Th ~ S a true and correct repr'od~tioh'bf'.the document off cially registered and placed~
- ] s~-'..-~o6 fie w h h~ D'AI~IQ BClF~-AIJ::OF~ HEAL])rl POLICY A~qD..ViTAL STA:rI~TI~S,~i:_~~.
._ :._~,;_>_,..=-[,_. -.~. i T- _-'---~5~?''' '%.~, :A~L]...~L~ ;-: . _. : ':': '
$
JANE S. SMITH
STATE REGISTRAR