HomeMy WebLinkAbout900005¸3.
STATE OF WYOMiNG
COUNTY OF LINCOLN
I, JUDY I. BORINO, bei;ng of legal age and first duly sworn, deposes and says as follo~vs:
1. That Max L. Borino, the'decedent mentioned in the attached Certified copy of the certificate of death,
is the same person as Max L. Borino named as one of the parties in that certain Warranty Deed dated
January 17, 1966, executed by Joseph L. Kopaunik and Josephine Kopaunik to Max L. Borino and
Judy I. Borino, husband and wife, and to the survivor as tenants by the entireties, and not as tenants
in common, recorded on January 19, 1966, in Book 72PR at Page 533, of the Official Records of
Lincoln County, State ot'.Wyonfing, concerning the real property situated in the County of Lincoln,
State of Wyoming and described as follows:
Parcel Fifty-Nine (59) of the Town of Diamondville, County of Lincoln,
State of Wyom~ing., as shown upon the plat thereof, dated August 31, 1942,
and containing 4200 square feet, more or less, together with all
improvements and appurtenances thereon, and
That portion of the Lot Nmnbered Ten (10) of Block Numbered Two (2)
lying and being sauth of"A" Street, in the Town of Diamondville, County
of Lincoln, Stat.'~ of Wyoming, according to the 1943 resurvey of said Town
of Diamondvillb, Wyoming, and said parcel being 45'x 30', together with
all improvemer, ts thereon.
That I am the same Judy I. Borino mentioned in the above referenced Deed and thereby am a person
interested in the effective property or the title thereto alld pursuant to § 2-9-102 W.'S. (1980) hereby
make the death a matter 0f record and certify that upon the death of Max I. Borino, his previous
estate in the property was terminated.
That the certified copY'of the certificate of death indicates that Max I. Borino died on March 24,
'2004 in the City of Kemmerer, Count~, of Lincoln, State of Wyoming.
Dated this c~ day of June, 2004.
JU)Xfl. BOP&O
STATE OF WYOMING /
) ss.
COUNTY OF LiNCOLN ~.
Subscribed and sworn to before me by Judy I. Borino, this
DEBRA A, HANSEN - NOTARY PUBLIC
®
COUNTY OF STATE OF ~'
LINCOLN WYOMING ,
CO MlSS O EX,?ES ·
~vty uomm~ssmn l~xp~res:
NOTARY PUBLIC
day of June, 2004.
S3'ATE: OF'.-::WYOMING
DEPARTMENT OF HEALTH
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::: DEPARTMENT OF' HEALTH . : ::~
LOC~LF~U~BE~ ~0~ CERTIFICATE OF DEATH ~EmLENU~R
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Lincoln Medical Cente~: '.;;: ~?'? - Ke~erer ~ J Lincoln'
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This is a true and exact reproduclicn (:)f the do~:a~ent on file in me office of Vital
Records Services Cheyenne,. .... Wyc~m ng
'DATE::::ISSUED: /~R ~ ..... ~' ~ ~' .
~ U::- , U~I,;), :- :.::'. ii..." :.. tucinda McCaffrey /
Deputy Slate Registrar
This copy is nm vabd unless prepared o ~ papcr w t an engraved border disp ayres' hc da r., s~a a d s g a ute o ' he Dcpu y State Registrar.....