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RECEIVED
LINCOLN COUNTY CLERK
89t, 5'25
AFFIDAVIT
03 OCT I'/ Al'i I0:19
JEANNE WAGNER
i:,c~.¢RER' .... ^~, ~,~
COUNTY OF ~N ~-~
'I, Lama H. Harrison FeldsteA, being first duly sworn on oath. depose and say:
That I am a citizen of the United States of America over the age of 21 years, and a
residentof ~,alCLAND ; tAI~ c~O 3 ~
That I wa~ well and personally acquainted with Lac[ Harrison in that certain Warranty
Deed recorded April 3, 1958, Book 26 P.R., Page 519 in the office of the Recorder of Lincoln
Cotmty, Wyoming.
That I knoTM of my own knowledge that Lael Harrison in the said' deed and
~Lael g-, ,ya,,rrison mentioned in the att~hed Certified Copy of Certificate of
Death was one and the same person.
This Affidavit is ir~nded to terminate the joint tenancy (the life estate) of Lael Harrison
in the following described property:
Lot Number FiRy-eight (58) in the Leon LivingstOn Subdivision, which is more definitely
de$c0dbed in the above referenced Warranty Deed recorded in Book 26 P.R., Page 519.
Lama Harrison-Feldsted
Subs~b~ and swOrn to before me this Iq day of CX--4~XC~f
,2O03.
[~o-}' l-1~o
:~:,~::: 'e ~ :': : ..... ~::":'::'~:: ?:~: CERTIFICATE OF DEATH : :; : :1-(~ 6
:::: LC~AL:REG,.~'t,AR'i N~i .__~.:___ /~ii:. ~:i:~ii ii'~'::~y ~i:::~ STATE OF::WYOMINo : ? ~:.~
.,.,,.o. ::::?: ':::: ' 1078
ACCIDENT
TiMEOF
INJURY. ii OCCURRED
i--] AT WORK
FUNERAL OIRECTOR ::
~mi. ng :: :Albany
I~ CITY t. ;tS RESIDENCE ON A FARM '::)i:. :i:!:: '::I:;
":' :~:::~:;:' OR RANCH?
:t:,:: ' '
^GE ,,. ,~; : ::: ::::
t4~ N~:OF HU~ND:OR WIFE
. :: :::::
:L~*n~ ~rr~n~ 265'Nort~ ,Laram~e,~yo
o~t~ ~ ~m :~::h...~: :.::. ·
.... ~:~ fl~:: ?/,r
::: .:; ;
~. ts ~ :: : ::::.::':: :::.:
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Afcon Cemetery
22c. DATE SIGNED
:? :::":::' 6/27/66: :::: ?::::::ii:.:::. 'iii:
This is a true and exact reproduction ~f the do~:ument On file in the office::o~ Vital: ' ::
~!Lcc~d~'!:esrv~!~'l=~!:~en:.,~iEW~°mi~'~::::'f20~:ii!::i. :' !i? ?iii: . i:;:~il:'
Depuly State Regislrar
~ ~'" i~ not Vidid Onless prepared on paper w h a~ en~ave, d:~o~xlcr ri sp ~':""~ ~ snd ~ ams ,~¢