HomeMy WebLinkAbout901259 RECEIVED
~ ':".COLN COt~t.,i]'Y CLERk
AFFIDAVIT OF SURVIVORSI~i~
STATE OF WYOMiNG
COUNTY OF LINCOLN
I, THORMA HARRIS, also known as THORivlA MEADS HARR/S,
now known as
THORMA BARRETTE, being of legal age and first duly sworn, deposes and says as follows:
1. That Walter A. Harris, also known as Walter Alvin Harris, the decedent mentioned in the
attached certified copy of the certificate of death, is the same person as Walter A. Harris
named as one of the parties in that certain Warrant y Deed dated June 26, 1961, executed by
AdolPh L. Youngberg and Alice V. Youngberg, husband and wife, to Walter A. Harris and
Thorma Harris, husband and wife, recorded as h~strument Number 387959, on March 30,
1965, in Book 69PR at Page 457, of the Official Records of Lincoln County, State of
Wyoming, concerning the real property situated in the County of Lincoln, State of Wyoming
and described as follows:
Parcel 81 of the Town of Diamondville, Lincoln County, Wyoming
as shown upon the plat thereof, dated August 31, 1942, containing
7200 square feet, more or less.
Together with and including all buildings and improvements thereon
and all hereditaments, easements and appurtenances and all other
rights thereunto belonging, or in anywise appertaining.
2. That Walter A. Harris, also known as Walter Alvin Hah-is, the decedent mentioned in the
attached certified copy of the certificate of death, is the same person as Walter A. Harris
named as one of the parties in that certain Warranty Deed dated April 29, 1970, executed by
Frances Sickler, a single woman, to Walter A. Harris and Thru-ina Harris, husband and wife,
recorded as Instrument Number 422402, on April 29, 1970, in Book 90PR at Page 214 of the
Official Records of Lincoln County, State of Wyoming, concerning the real property situated
in the County of Lincoh~, State of Wyoming and described as follows:
Parcel 82 of the Town of Diamondville, Lincoln County, Wyoming,
as shown on the Plat thereof, dated August 31, 1942.
3. That I am the same Thorma Harris, now kmown as Thonna Barrette mentioned in the above
referenced Deeds and thereby mn a person Interested in the effective property or the title
thereto and pursuant to § 2-9-102 W.S. (1980) hereby make the death a matter of record and
certify that upon the death of Walter A. Harris, his previous estate in the property was
terminated.
That the certified copy of the certificate of death indicates that Walter A. Harris died on
September 18, 1992 in the City of Kemmerer, Comity of Lincoln, State of Wyoming.
Dated this 21s~ day of July, 2004.
A HARRIS, n/k/a
THORMA BARRETTE
STATE OF WYOMING )
) SS.
COUNTY OF LINCOLN )
Subscribed and sworn to before me by Thorma ltarris, n/k/a/Thorma Barrette,
day of July, 2004.
MY CO[~MISSION EX'iRES ~/OV/O'! .. ~ NOT~Y PUBLIC
My Commission Expires: .c~/o v/o-,
this 21s'
2
FOR
INSTRUCTIONS
SEE
NANDBOOI(
STATE OF WYOMING
DIVISION OF HEALTH AND MEDICAL SERVICES
LOCA'-~=".~N"~A 1015 CERTIFICATE OF DEATH
WALTER ALVIN HARRIS LE EPTEMBER 18, 1992
[°'" ~'" .... APRIL 1'5,' 1935
520-34-8776 57
MYOM I NG MARE I ED THORMA MEADS
YES HAINTENANCE DIAMONDVI LLE TOWN
_WYOMING LINCOLN DIAMONDVILLE 140 WEST FRONTIER
WH
N, YES
HARE I S .... ~'~'~ ~ '~"~ L I L L I E BELL~
\ rlORACF
THORHA MEADS HARRIS
SPOUSE
P.O. BOX 175 DIAMONDVILLE WYOMING 83116
BURIAL 9/22/92 _ KE~RER CEMETERY KE~ERER~ WY~ING
~'(~~/ 429 C~DALL FUNE~L 'lOt~ 28 KE~ERER, WY~ING
N C~IG TALBOT M.D.' 702 ONYX KE~ERERt WYOMING 83101
SEPTEMBER 21.. lqq2
I
Date Issued
THIS IS TO CERTIFY that this reproduction is a true
copy of a record on file in Wyoming Vital Records
Services, Cheyenne, Wyoming.
This copy is not valid unless it bears a raised
seal and the signature of the Deputy State
Registrar is in red.
September 29, 1992
Deputy State Registr