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HomeMy WebLinkAbout900286STATE OF WYOiklING A FFIDA VIT CO UNTY OF LINCOL ~/ RECEIVED LtI',ICOf.N 0,','~, r,,!-?,,, CLERK /, CAROL ANNE ELLIOTT, fka CAROL tL CLARK, being first duly sworn on oath, depose and sa~: That I ant a citizen o£the United States of America over the age of 21 ),ears, and a resident of 731 Pinecre.~t Circle, Alpine, Lincoln Cottltty, Wyoming; That I was well andpersonally acquainted with ALBERT H. CLARK, itt that certain Warranty Deed~dated July 20, 1987, Book 253PR, Page 296, itt the office of the recorder of LINCOLN COUNTY, WYOIkIING; That I know, as his widowed spouse, that ALBERT tt. CLARK itt said deed and ALBERTtL CLARA', mentioned itt the attached Certified Copy of Certificate of Death, was one and dip Yame person. This affidavit is im'erded to terminate the joint tenancy (the life estate) of ALBERT tt. CLARK, itt tire following described properO,. LOT NO. 248, ALL IN LAKEVIE[V ESTATE& INCORPORATED TRACT.4, A SUBDIVISION OF TtlE SOUTH tlALF OF Tt/E SOUTIIEAST QUARTER OF SECTION 29, ?DWNSHIP 37 NORTtl, RANGE I18 WEST, OF rile 6TM P.M., EXCEPTING TtlEREFROM; a part of Lot 248, beginning at the NE corner of said Lot, thence S 55o00' W, 79feet; thence N 14o50'E, 75feet to the North Line of said lot; thence S 59o2'E, 50feet to the pobtt of begbtnbtg, all itt Lakeview Estates,.htcorporated Tract A, a subdivision of the South half of the Sottth East Quarter, Section 29, T3 7N, Rll8W, 6'~' P.M., together with all intprovements thereon, situated at the address of, 731 Pbtecrest Circle, Town of Alpine, Lbtcoht County, }Vyombtg, 83128. Sub~ribea~ul s~o Residing in: Commission expires: CA R OL ANNE EL.LIO TT, fl~a C. arol H. Clark, widowed spquse th, /4, tday of ~ta;fiof Public ,2004 STATE OF WYOMII G g ..... i,~ ' DEPARTMENT:OF HEALTH ::: : :::' 2g: ~ ~[[ ~u~ CERTIFICATE OF DEATH ': ::r .... ::::: ~ ::::[~ ....... :.:.~ ~ R~ :~:~ HUGU :::::u:: ,:~ :CLARK ~ : ~LE JANUARY 1:7,::1999 :. ?::::sT ~s J ') ~ ~-.xt/t ...... ......... :': 63 :::: ~ :: :: I SEPTEMBER:20/1935 ' .... ::: : ::: .:~E ~ · :; ; : : :' ::: I : :: ::1 : :: I :: ;: :'~ '::: LABAMA ~:" ~::::/~ HANSEN '?::= ~ :::;q :;: '~ :::: '~:~ :;::." ~ ,I,' :NUCLEAR ~ENGINEER · :': ~:~: .J NUCLEAR RESEARCH __;~$]YO~[!:~,IG/~?:,:~: .: :~J T iZCDI kT ::/: '::::~ ~i PTN~ '? ~:: 1 ~R PiNpm~E~m: cI:RcLE: : ; ~: ~: : '~: "' I ~m: {"' T='"'" ': '~: I - ?' '':'Z"~ * :- : : '':: :: :$ : ~: ::: '::YES:' ~? uT: ~;' ?::: J ~ ~,~.E,~), ::: '," ';'~ J::::~ ~ ::: ::: ~~~: ~ .¥..,., ................ ::i, :J' , :~. ::,. ':: '1:~ , ~:2:: .~: I :: 5 : ~:::::~: ~:::' : ::~:,;~: :5: .~ :. ~ ~ ~THeq'~E ::~ ~~ :~: BILgIXU :::::' ,:~ ':~51{UGH ':~LA~~ :~: ~'~ '::: :: HALBERT hILggflg~' ~LL~S':: : :" · :~: .:? ~/~:: , ~ :~::: :ST:':: :3~:= ' ;: ' ':: ~: ': := .:::' :~. : :~ :,:u~ :~:::: ' .:: J:: : :: ' ::: · : ::: ~ ' t : =.:. :: '.' ' = ' ~ : :: i i:q' .' ~ ~ ~ ?~ : · ~ ~ TO ~CE~ ' '::" ·: ' / CAROL~ CLAR~ .: ::,u : ~ :~ .,.~::~ ~ .:' ~ sPouSE : :~f' ~ ~.~~:?:~:~ ~r:::: ~:~ 6T~EET~'~r:D.~U~.: <':: ': C~T~ : :: mA~ ] ::' ~ : : : : :' ::? ':: q~ ? J BOX::::3~'~:~:.::.::::,::]:::~::::'; ~: ~.: :, ~:::j::/~f,?.: '::~:Afi~'~N~: ~ :~0M~NG' : ~ .r83 ~::28: ':":"::: ~ ~,. ,:~: :~:: ":::~ ~ 2~: ~TE (~ ~,l: C~TE~;~ ~O~:~M~: ,::. ~: ~ ~ on T~ ~A~ · .. .::::~ :~ ::::'SCUWAB ~QRTUA~ :::::::, :. :45 44:EAST: ~OURTlt AVE. , AFTON .::.::::: ::: .:::'~':? = ~:' x: :: .: : . :: :: .::: ~ ::~ .... ;::?.:~ . ............. ~:::~. ::::, : ..... ~} ::? :.::::.::::.: :, ~:~J ~:::::: "8::::::: :.: '::' ~: :: ':::':':..: :::::::r ::.: : :::: .. 2~t~J2~ ~REFERREOm~R~En % ~ ~? ~ ~ :f:: :F:: :': :?: :~: : :? '~ ::: : ?' ::' 'q f ~ : NO ~.'~1 :(~ ~::mJ:::' ::N~. :~ :: ::. ~ ' ' ~' J ',~_. I~:Z~~ I ...... ~.-~ ~ ~ ~.o ...... ~ ' ~ ~ I ........ I '~"' t ~ .... ' I ::? :?:';: ::: ::~ t ~ ~:.f ':~ :: '~ ~ 3: ?:f :::, :::::::::: , :>: :: , . ...: .... 11~ :?"*::: ,.i ~? :,:..::: :.:. ,:::.::::::: ,:: :::::: : ....... :? This is a true andlexact reproduction ~f Ihe doc~rnen, on file in the o~ce of Vital ~his c6~y is nbt val{~ uflJ~s prepa;~d on p ~p¢~w ti:lan end,iCed border d sp ay n8 ih~ dale': lea and s ghaeure ~f t~e Dem ) S a c Reg ~ rat :: : ' '