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RECEIVED
LINCOLN COUNT'( CLERK
0k .~?R 21 fil~ 2: 2")
8 9 8 6 ']..SA FF1DAVi EANi
BOOK
CO~TY OF L~COLN
I, L. Kaye Petty
· .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
resident of Thayne, Wyoming
That I was well and personally acquainted with George B. Petty
certain Warranty Deed dated May 31, 1996 , Book 384 P.R.,
in the office of file Recorder of Lincoln County, Wyoming.
at Page 48
in that
That I know of my own knowledge that George B. Petty in the said deed and
Dr.. George Browning Petty mentioned in the attached Certified Copy of Certificate of
Death was one and the same person.
This Affidavit is intended to terminate the joint tenancy (the life estate) of George B.
Petty in rite following described property:
Lot 58, Star Valley Ranch Plat 2, according to that plat of record in the Office of the County
Clerk, Lincoln County, Wyoming
Subscribed and sworn to before me this
Commission expires: '[,- ,'~ ~ -'~ 00 -/
L. Kay~
day of ~ ,2004
N~ary Public
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PlVZt:or'
~-OR
INSTRUCIION$
SEE
$i!TAT p 2MI NG
STATE OF WYOMING
...... !:.'I~EPARTI~IENT O£:HEALTH .ii.
toc~ F._E .U,~DE. CERTIFICATE OF DEATH
DR. GEORGE.:? BROWNING?~ '::: :'~?'?:~ETT~ ...... ..':'": :MALE ~Y'28, 2003
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... [[:' ,..
/'S~AR '~LL~Y CE~ ~?: 'L:~?~. { LINCOLN
UTAH LENO~ )SEN
YES ~ITED STATES AIR FORCE
~OMING :a.. D~IVE
NO "':1~'~: m:'~ (,.4.~ ~: .....
:.:.: I'
.... ::~..' DR:-~'~:~::,ANGUS '¢: , ;~'::"::f.. :~ 'f:~VE~ .... BRO~ING
...... sP'ous~.'~ (' ~ ?.:'"
44 EAST FOURTH AVE., AFTON
S HWAB .~ORTUARY:
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83110
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11/99 15M
" p ""'Of the dO~umen{ ~" ilia in {~ bffice; 6i Viial "
:~e~rds ~e~.~es, ~heyenn~ Wyoming. .
~:DATE*?*iS~UE;~':: q::~ JUN ;??:'4 ?:::'2~:*:':-2,~D3. '-:* : .................... :*:' ~'' :::::::::::::::::::::*:**: :***: :::'~.. ......... :~'"'":}~ ?":::*:: '*:*~~:~ [..~,'.c,,,.,~~
Deputy Stale Registrar
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