HomeMy WebLinkAbout894520After recording mail to:
Gait V. Ashby
8945'20
A F F I DAV I ~T OF
RECEIVED
LINCOLN COUNTY CLERK
03 OCT 17 ~,M 9:07
JEANNE WAGNER
I D E N T I ~Y
WHEREAS, I DIANA HALLIDAY , have been
personally acquainted with HELEN GRANT ASHBY, shown in the attached
Certificate of Death, and know that she is one and the same person
as HELEN G. ASHBY, one of the Grantees identified in that certain
Warranty Deed dated January 20, 1995, and recorded February 10,
1995, in Book 364, at Page 0724, as Entry No. 797702, Lincoln
County Recorder's Office, and describing a parcel of property
situated in Lincoln County, State of Wyoming, as follows:
STAR VALLEY RANCH RV PARK PLAT ONE (1) LOT FOUR HUNDRED
FOURTEEN (-414) AS PLATTED AND RECORDED IN THE OFFICIAL RECORDS
OF LINCOLN COUNTY, WYOMING.
Dated this ~__ day of October, 2003.
STATE OF UTAH )
SS.
COUNTY OF DAVIS )
On this 3rd day of October, 2003, personally appeared before
me. Diana Halliday , signer of the foregoing
instrument, who duly acknowledged to me that she executed the same.
Residing at: ~Bountiful, Utah
Commission Expires: 05-03-04
~otary
NOTARY ?UBLXC
MARII-¥N W. CARR
565 W, 500 8o., 6Nile 100
Bountiful, Utah B4010
My Comml~alon Explr~
May 3, 2004
STATE OF UTAH
........ t0CAL~.~"E" ',ATE OF DEATH
This
under authority Of secti0n':~6~2, Amended.
Date:lsSU6di :
County '~ : e
'SArT'- L^KE V TAL RECORDS
*00969175*
:;: ::' I Female{ April 11, 2002 · t~O: /. ';
Aunt 21, I Gr~ger, Utah / 528-26-0136.
. Se. P~CE } HOSPITAL ~,r.~ ~ ~ ~i~ ~]'} Att OTHER ~0CA~ONSt Bb. N~E OF HOSPIT~ N~SING ~ME OR O~ER F~IL ~ ·
IL FA~HER;S N~E (F~,: ~i~Ie;: Lest]
ig: N~E RE~bNSH ~ANoMAILING AODRESS~F N~0A~2 ~ ~' .,: ·,
-:, ':',':' ....... ~:~:~;~';'~;:~ ~-~::,~.::'~' ~"~'~'::",~ ......... : '::~: Valley View
IV~~2 ~ "~:'~~: :`: ;''~: }:: [07019 Hc~ugal ~A~ai' .ome
Mg~i/,a
CER~FIER ~ 2. ~~::..:0~I~eSl
.~,s~. :
3 f, PARt L ENTEE ~E D~S~SES; i~JUR~E~;;OR:~oM~oN5 ~T ~USED ~ ~TH OD NOT ENTER ~E MOO~ OF OYING,'SUCH AS C~OIAC ..:
, OR RESpI~tOR~:A~f SHo~ ~FA~ L ~f ~LY 0~ CAUSE ON ~CH t NE '
in death) ¥ :,¥~:~ k ;)~{ ~R? ~,~ :~?; ~;: O~E ~00RAS A'~ON~EQUENCE ~) ,J :, '
~u~e Enter UNDERLYINg'::: ~[~ ~
Inillated events res~lti~
~ ~::~' :::'. ~'h '~ ::~i::::,~'" :;'r'~;%~:;~:~:: ~', ::.:~%.:~z~;: :: : u · USER U ' ~ -' U ::' : ;~ :':
~3 'u 'd~: : :~ ~'::: 2~<;~':';4: ~ LO~A~i~N (St~6t:at:~m~e dumber, ~ ~ ~ ~.) 3~. ff m~ ~e ~ spe~ , de.deN was ~er.
~5. Undete~lned ~
Rev. ~a :? ::' ./? .~PL~;:~;.{/~,~;~;~¢;~.~;~',:~:~:~;~',:::~.' , :
tU b~l UI[lIOt U lid Ia ~ U U~ ~Upy t 'l ti I~ ~1 tillable: uu,[d~ Iii ti ,IS ufr,uc. TI,,o uu, hr,cd uuuv ,~ ,oouud :