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Home My WebLink About20003132.tiff 1 111111 111111111111 III 11111111111111111 III 11111 liii liii 2757689 03/27/2000 11:04A JA Suki Tsukamota 1 of 2 R 10.00 0 25.50 Weld County CO r� WARRANTY DEED THIS DEED, Made this 17th day of March, 2000 between Alfred B. Jensen as to an undivided 50% interest and Grace E. Carlson Revocable Trust, a trust as to an undivided 50% interest of the County of Weld and State of Colorado, grantor, and Janet L. Ream whose legal address is 412 North 71st Avenue, Greeley, Colorado 80634 of the County of Weld and State of Colorado, grantees: WITNESSETH That the grantor for and in consideration of the sum of TWO HUNDRED FIFTY FIVE THOUSAND AND 00/100, (S255,000.00) Dollars, the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantee, his heirs and assigns forever, all the real property, together with improvements, if any, situate,lying and being in the County of Weld and State of Colorado, described as follows: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF , ' also known by street and number as , , Colorado TOGETHER with all and singular the hereditaments and appurtenances thereto belonging, or in anywise appertaining and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor, either in law or equity, of in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantee, his heirs and assigns forever. And the grantor, for himself, his heirs and personal representatives, does covenant, grant, bargain, and agree to and with the grantee, his heirs and assigns, that at the time of the ensealing and delivery of these presents, he is well seized of the premises above conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, except general taxes for 2000 and subsequent years; except easements, restrictions, covenants, conditions, reservations and rights of way of record, if any; EXHIBIT I The grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the grantee, his heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any gender shall be applicable to all genders. IN WITNESS WHEREOF the grantor has executed this deed on the date set forth above. v A fro B. Jense Grace E. Carlson Revocable Trust, a trust BY J /Ira- C L ti 114C-or- STATE OF COLORADO } Grace E. Carlson, Trustee } ss. The foregoing instrument was acknowledged before County of Weld } me this 17th day of March, 2000 by Alfred B. Jensen as to an undivided 50% interest and Grace E. Carlson as trustee of the Grace E. Carlson Revocable Trust, a trust as to an undivided 501 interest r;1�1'�„pUB�j witness my hand and official seal . My comission expires November 15, 2001 BLOCH /• O � I C NOTARY UBLIC 1295 Main St. No. 93 84 Windsor, COLORADO 80550 2000-3132 "EXHIBIT A" LEGAL DESCRIPTION Lot B of Amended Recorded Exemption No. 0961-14-4-RE346, recorded March 16 , 2000 as Reception No. 2755951, being a part of the SE1/4 of Section 14, Township 5 North, Range 65 West of the 6th P.M. , County of Weld, State of Colorado. EXCEPTING THEREFROM a parcel of land conveyed to State Department of Highways, State of Colorado by deed recorded June 14, 1991 in Book 1301 as Reception No. 2253240 . TOGETHER WITH Three ( 3) shares of the capital stock of the Union Ditch Company TOGEHTER WITH Well #2-8641-R I 111111 11111 1111111 111 11111 1111111 11111 III 11111 2757689 03/27/200025.1 1:04* JA Sukt T IIII 1111 2 of 2 R 10.00 0 50 Weld County CO moth Order No. 8513495 CERTIFICATE OF CONVEYANCES WELD COUNTY STATE OF COLORADO DEPARTMENT OF PLANNING SERVICES COUNTY OF WELD The Transnation Title Insurance Company hereby certifies that it has made a careful search of its records, and finds the following conveyances affecting the real estate described herein since August 30, 1972,and the most recent deed recorded prior to August 30, 1972. LEGAL DESCRIPTION: Lot B of Amended Recorded Exemption No,0961-14-4-RE346,recorded March 16,2000 as Reception o. 2755951,being a part of the SEl/4 of Section 14,Township 5 North,Range 65 West of the 6i°P.M.,County of Weld, State of Colorado. EXCEPTING THEREFROM a parcel of land conveyed to State Department of Highways, State of Colorado by deed recorded June 14, 1991 in Book 1301 as Reception No.2253240. CONVEYANCES(If none appear,so state): Reception No. Book 862 Page 54 Book Reception No. 1486841 Book 565 Reception No. 2307149 Book 1355 Reception No. 2757688 Book NONE Reception No. 2757689 Book NONE Reception No. Book Reception No. Book Reception No. Book Reception No. Book Reception No. Book The certificate is made for the use and benefit of the Department of Planning Services of Weld County, Colorado. This certificate is not to be constructed as and Abstract of Title nor and opinion of Title,nor a guarantee Title and the liability of Transnation Title Insurance Company,is hereby limited to the fee paid for this Certificate. In Witness Whereof,Transnation Title Insurance Company,has caused this certificate to be signed by its proper officer this 23r°day of May,2000,at 7:00 am. TRANSNATION TITLE INSURANCE COMPANY By: , cx' . Authorized Signature NOTE: Copies included for informational purposes only. EXHIBIT c.. L i'''. a . 1 I.erA '' fr. f , t I I T IIIRIH • S L 114 r rr, . • 6 "1 r ar 44:01 ra..R Mob 1 � III (�' r .. t II f 'r�r�p�a_.�Iwa�n�ar.�easear r�.�.�,as ,I 11( 4,., _.... , a� �h� 71V{Qb.f MIr IhM t ureWn q day Or 1,1 11 L, { { I r '4 LL wry Drat -In IM -.5 uiwt�al fit ll+rlw. nhwhun an. i• .3,11,10110 i., �� • to Or WingtyI' I ,¶ j' `f 1 � tI I Y I i�i k � • Y Ir etrl I' , ''''::-/ , ' �Lt a ;trolns 11gmY ! I11Q '� tk Jr' r $,k,,dYM I �' 4' 1 } �_�kta� j�I �it�dful ��.� Am Ph',Food. �.6ttor,lr I pl.u.. o0,lirwaM..i pn p , . .'i. 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IN Y ,,i e�11! iral7yl Dlir O.iili�,..�' n , / f ibyuty� MiMd tl bt 1 it i ^f :Melt fir M:b "( t,/: I , f'. I C ..... *hY ill t 'inn K. ,Itpr MMt/.,Y.�a: . to IM N" t `p r ill }�a111�ay I •'� {, t tr'inn�,. IW(t�S fit.tw.ai 64.04•'4 fl im a4. .e 14 lit 1 . } IMi { 1 I( I .,n I i }t. 1 .,�7Z:r tit,.r.... t , • I 6. _ •. •1 r-'� .-47-1,,,,,-, I .. : j :r � A'tt fR+��4pM _ W � Ilv ll.. L I' &OAa/ `4 ' YO',$. ''"aw�'.7nibiall I{`4 r t; 4f .i 4 • k `I • 1 S f l p-. r.• , 11 w '.1 • , .. .... Yn.K1•':J:. S. $14.14_) .,tom_. '°°` �i APR 1 31966 u l 565 'QJ, /,/^ rar Recorded at._a o'clock f W. `,. : .. _ 145US,1.1 ANN SPOMe0. Recorder. le _. .L Reception No r KNOW ALL MEN BY THESE PRESENTS, That ALFA= B. F.:1=1 III c`_: of the County of Weld ,and State of Colorado, f for the consideration of Other Valuable considerations and Ten and no/100'T.t"�,:a"�.:;: Dollars, u in hand paid, hereby sell and convey to b1;d2Ti'A A. .JW'iS~;'rI - : I of the County of Weld ,and State of Colorado, 1 ,.1 the following real property, situate in the County of 'field 'S ,y o and State of Colorado, to-wit: 'S 0 . NI o An undivided one-eighth (Lie) interest in and to: The South Half (Si) of the Soutitsip Quarter (SE4), and the Northeast Quart= (NE?) �o of the Southeast Quarter (SE*) of Section Fourteen (iii), Township Five (5) :forth, 'r ti Range Sixty-five (65) West of the 6th P.M., together with water rights as evidenced iiii ,_ by five (5) shares of the capital amok of The thins Ditch Cotivany. r M 1 '5 ' ;I IN 4 a rae III,4 /Th (Camsideratim less than S100) r with all its appurtenances, and warrant the title to the same, subject to taxes for the year 1966, payable in 1967. 4 Signed and delivered this 0th day of >Aprill ry�-� , A. D. 1966 • -�/ - • In the presence of ....`.C.5;<tC¢C..r:,rf.e.2'u'..Gt�� (SEAL) ., j - 1fred B. orison r �yyy (SEAL) �i 3f (SEAL) . STATE OF COLORADO,lss l, COUNTY.OF WELD. ,1 , P• .$1a.1.Thi foregoing instrument was acknowledged before me this ........6�.day of .f/a�lrLi .._!o, 19 66 , by Alfred D. Jensen /`{ :J i I(1/f Y • . • CIea WITNESS my hand and official soil. i .„ ; oy, ,i� i , My commission expires 9�.a/‘p / i e••.-�., SJY19IA i;r 1 4 .N t1 y Public. " •II by natural person or persons herein insert name or n noes; if by Demon,acting in repre.c a to ire or official capacity or as attorney in-fact,•then Insert•name or person as executor; alto'tney-in-fact or other capacity or description; if by Hil �;,S officer of corporation.oaThen insert name of such office of ....tic en.as the resident or o.l•er officers of sod,corporation, i$ • _: ppontiory gam• ?re-. lag lt.:•I•STATUTOAY,ACKNOWLEDOMENT,SESSION 1927. "rM.iiWARRANTY-DEED --Statutory Form Ni .., /, So -rr—nu' ,i •. j . :1lY 1 B 1355 REC 02307149 10/15/92 14 :40 ' $10.00 1/002 AR2307149 F 0029 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO QUITCLAIM DEED THIS DEED, Made this {PI') day of October, 1992, between GRACE E. CARLSON, of the County of Weld and State of Colorado, grantor, and GRACE E. CARLSON REVOCABLE TRUST, whose legal address is 1129 14th Avenue, Greeley of the County of Weld and State of Colorado, grantee, WITNESSETH, That the grantor, for and in consideration of the sum of TEN ($10.00) DOLLARS the receipt and sufficiency of which is hereby acknowledged, hereby sells and quitclaims unto the grantees all the right, title, and interest of the grantors in and to the following real property, together with improvements, if any, in the County of Weld and State of Colorado: Lot B of Recorded Exemption No. 0961-14-4-RE346 as recorded in Book 850 as Reception No. 1771687 of the Weld County Records, being a part of the Southeast Quarter (SE 1/4) of Section 14, Township 5 North, Range 65 West of the 6th P.M. IN WITNESS WHEREOF, The grantor has executed this deed on the date sot forth above. S4 ale , 6- 0 ` -2,4AP-A._..) . GRACE E. CARLSON STATE OF COLORADO ) ss. COUNTY OF WELD ) The foregoing instrument was acknowledged before me this C /4-‘ day of October, 1992 by GRACE E. CARLSON. WITNESS my hand and official seal. My commission expires_ `1'(11 OS" /996 i •• 01,\T:‘•'' Notary) Public ` Q.141142 • 1 i .•i 'i I • ) i ! 21 I ra `" B 1355 REC 02307149 10.15/92 14 : 40 $10.00 2/002 F 0030 MARY ANN FEUERSTEIN CLERIC & RECORDER WELD CO, CO It AFFIDAVIT `'%STATE OF COLORADO ) . t: ) -,s. a COUNTY OF WELD ) (For Property of Trust) Grace E. Carlson, of lawful age, being first duly sworn, upon oath deposes and says: 1. Affiant is one of the Trustees of the hereafter-named Trust and as such has authority to execute and to record this Affidavit. 2. "GRACE E. CARLSON REVOCABLE TRUST " is the name of a trust which may acquire, convey, encumber, lease, and otherwise deal with interests in real property in said name. 3. The names and addresses of all the Trustees who are represented by such name are: .:1 `„ Name Address I Grace E. Carlson 1129 14th Avenue ,'I Greeley, CO 80631 Carl W. Carlson 1129 14th Avenue Greeley, CO 80631 4. The above-named Trustees may convey, encumber, lease or otherwise deal with any interest in property acquired or held in /1 the name of said trust. 14 \6 5. This Affidavit is executed and recorded pursuant to the ' ` provisions of Title 38, Article 30, Section 166 of Colorado Revised Statutes. Trdsteb ' Subscribed and sworn to before me this 91-h day of October, 1992 by Grace E. Carlson. ,' Witness my hand and official seal. My Commission Expires: Ju I y c2,}J /946 k. a �[ -0.A/et( 7 ?�Ct.1<<4 _,) • / p1ARY`\.. oo-¢ rf •..... ..••'•o • CM i • C K-., , ,,--..\ (ofIl QUIT CLAIM DEED THIS DEED, Made this 6th day of March, 2000 between Grace E. Carlson Revocable Trust, a trust of the County of Weld and State of Colorado, grantor,and Alfred B. Jensen as to an undivided 50% interest and Grace E. Carlson Revocable Trust, a trust as to an undivided S0% interest whose legal address is 1906 33rd Avenue, Greeley, Colorado 80631 of the County of Weld and State of Colorado, grantees: WITNEESITH, That this grantor(s) for and in consideration of the sum of TEN AND 00/100, ($10.00) Dollars, the receipt and sufficiency of which is hereby acknowledged, has remised, sold and QUIT CLAIMED, and by these presents does remise, , sell and QUIT Clan unto the grantee(s), his heirs, successors and assigns forever, all right, title, interest, claim and demand which the grantor(s) has in and to the real property, together with improvements, if any, situate, lying and being in • the County of Weld and State of Colorado, described as follows, Lot 8 of Recorded Exemption No. 0961-14-4-RE346, recorded November 2, 1978 in Book 850 as Reception No. 1771687, being a part of the SE1/4 of Section 14, Township 5 North, Range 65 West of the 6th P.M., County of Weld, State of Colorado. EXCEPTING THEREFROM a parcel of land conveyed to State Department of Highways, State • of Colorado by deed recorded June 14, 1991 in Book 1301 as Reception No. 2253240. also known by street and number as , , Colorado TO NAVE AND TO HOLD the same, together with all and singular appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever, of the grantor(s), either in law or equity, to the only proper use, benefit and beboof of the grantee(s), him heirs and assigns forever. IH WITMISS WHEREOF, The grantor(s) has executed this deed on the date set forth above. Grace E. Carlson Revocable Trust, a trust BY `2tc�-. `' (I Qic. Grac�E. Car son, Trustee STATE OF COLORADO, ) } ss. The foregoing instrument was acknowledged before County of Weld } me this 6th day of March, 2000, by Grace E. Carlson.as trustee of the Grace 8. Carlson Revocable Trust, a trust Witness my hand and official seal. My commit/lpy ion �expires /V.V. '11'1%06i c9kl � /L .DARELLA eiocH LI/ NOTARY PUBLIC No.933. Rev. 3-.:. /S-'��'` O 111111!11111HIM III 1111111011111111111111111111101 2757688 03/27/2000 11:04A JA Sold Tsukamoto 1.7 1 0l 1 R 5.00 0 0.00 Weld County CO • IHifi 11111111111111 III 1111111111111 a 2757682 IM/37/2000 11A4A JA 6uld Tsukamoto 1 of 2 R 10.00 0 25.50 Weld County CO (o 89 WARRANTY DEED THIS DEED, Made this 17th day of March, 2000 between Alfred B. Jensen as to an undivided 50t interest and Grace E. Carlson Revocable Trust, a trust as to an undivided 50% interest of the County of Weld and State of Colorado, grantor, and Janet L. Ream whose legal address is 412 North 71st Avenue, Greeley, Colorado 80634 of the County of Weld and State of Colorado, grantees: WITHESSETH That the grantor for and in consideration of the sun of TWO HUNDRED FIFTY FIVE THOUSAND AND 00/100, ($255,000.00) Dollars, the receipt and sufficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these presents does grant, bargain, sell, convey and confirm unto the grantee, his heirs and assigns forever, all the real property, together with improvements, if any, situate,lying and being in the County of Weld and State of Colorado, described as follow, c 0 SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF `O also known by street and number as , , Colorado /5 -'TOGETHER with all and singular the hereditaments and appurtenances thereto belonging, or in anywise appertaining and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, right, .title, interest, claim and demand whatsoever of the grantor, either in law or equity, of in and to the above bargained premises, with the hereditaments and appurtenances. • TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantee, his heirs and assigns forever. And the grantor, for himself, his hairs and personal representatives, does covenant, grant, bargain, and agree to and with the grantee, his heirs and assigns, that at the time of the • 'mottling and delivery of these presents, he is well seised of the premises above • conveyed, has good, sure, perfect, absolute and indefeasible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form as aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, swats, encumbrances and restrictions of whatever kind or nature soever, except general taxes for 2000 and subsequent years; except easements, restrictions, covenants, conditions, reservations and rights of way of record, if any; The grantor shall and will WARRANT AND FOREVER DEFEND the above-bargained premises in the quiet and peaceable possession of the grantee, his heirs and assigns, against all and every person or persons lawfully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and the use of any lender shall be applicable to all genders. IN WITNESS WHEREOF the grantor has executed this deed on the date set forth above. fr B. Dense Grace E. Carlson Revocable Trust, a trust G/7 BY Aa..e.- A. Ci¢t.Lg,n.. STATE OF COLORADO } trace E.. Carlson, Trustee } as. The foregoing instrument was acknowledged before County of Weld } me this 17th day of March, 2000 by Alfred B. Jensen as to an undivided 50% interest and Grace B. Carlson as trustee of the Grace E. Carlson Revocable Trust, a trust as to an undivided 50% interest ,•?l% Witness my hand and official seal. h "••�C My co Lesion expires November 15, 2001 i DARELLA L.�t A ,�� 6 BLOCH t0 f�,..?r C'10i_- Nj:..,. ..�pC NOTARY UBLIC —PAN. 1295 Main St. No. 93 84 Windsor, COLORADO 80550 • Em "EXHIBIT A" LEGAL DESCRIPTION Lot B of Amended Recorded Exemption No. 0961-14-4-RE346, recorded March 16, 2000 as Reception No. 2755951, being a part of the SE1/4 of Section 14, Township 5 North, Range 65 West of the 6th P.M. , County of Weld, State of Colorado. EXCEPTING THEREFROM a parcel of land conveyed to State Department of Highways, State of Colorado by deed recorded June 14, 1991 in Book 1301 as Reception No. 2253240. TOGETHER WITH Three (3) shares of the capital stock of the Union Ditch Company TOGETTER WITH Well #2-8641-R • i uiiiu�iii ui ui air i�iui uui iu uunui im of 2 10.00 O0p N:WA tIA sold iramoW 2 of P R 10.00 D P6.ti0 Way Ooanry DO INJ sr; t t< • � .R};Tt937. • .if.P /Oink. •• � �' 50CK 1304 FRP 460 f 1153087_ RKeCa.ni ...Am Spooner,R of • • * ty Di THE DISTRICT COURT IN AND FOR.THE COUNTY OF WELD AND STATE OF COLORADO nttD MA: 12 279 ' DISTRICT COU • CIVIL ACTION NO. .,,.- APR 17195 IN THE MATTER OF THE DETERMINATION ) "'t . OF INTEREST Di THE LANDS OF: ) D E. C REF. ANTON M. JENSEN, DECEASED ) `x� Apr1 THIS PATTER having come on to be heard this 17th day • DC of MINMSty, 1953. THE CJUriT DOTH FIND: • Y That tho matters as stated in the Petition are true; that notice has teen properly served in accordance with statute; that no persons in interest have appeared; that more than twenty days have elapsed since the date of the last publication of notice or the last personal service;and that more than thirty days have elapsed since the date of the mailing of notice. That 'Anton M. Jensen died intestate on November 19, 1951 near Greeley, County of Weld, State of Colorado; that no administra- tion of his estate has been granted in this State. That he died seized and possessed of the following real t property, situate in the C ounty of Weld, State of Colorado: An undivided one-half (1/2) interest in and to the South Half (Si) of the Southeast Quarter (SE'}) and the Northeast Quarter (NS;) of the Southeast 'uarter (SEt) of Section Fourteen (14), township Five (5) North, Range Sixty-five (65) West of the 6th P.M., together with water rights as evidenced by five (5) shares of the capital stock of The Union Ditch Co:fpany, ! by Warranty Deed dated August h;, 192b and recorded August 16, 1928 in Book 862, Page 54, Weld County Records. /Th -1- a , �. ��w.. + ::d� . .�.s_..c..`l r, �1 t {.:.Yi 11�vt • Ly/{ills 3C. t {5 ♦ i , . .t.. p. yak Kt > 1 {�� f w •1�•f ' � �1 ! 1..L t 3 1M IbI �yy4 y. .J ii � 1'1..a3 it bgAcakt nr`k W4/ a a. i { j1 Glp a: M :(.'�J�/ i . .Y a r{y,. 1 FFFFiS eiv. 1 f ,i.,6 \poi That Ilia sole and only hei s'�t14t and t ! • tare;Ls. 'y4� ' '`} � 1 � '. � +� ifs'.: .. ^ . � fry ,, eel er Tires 4 saoh was enti�led to in the abov {d�s�'�bed p p �- i •-• X ,f ,ntersstj 1� Name and Add as (All Adults) ; g h ,{e ?11777 Widow '� :%5 : 1/2- �� : J Martha A. JQSrsen, J Route l4, Doi 233,' Greeley, Colorado G Alfred B. Jensen, Son -: , �` . S r ' ` ' 144 • Route lA, Box 193, Greeley, Colorado 144 Grace E. Carlson, Daughter 18014 - 11th Street, Greeley, Colorado WHEREFG1E, IT IS ORDF.R^D, ADJUDCFD AND DECRF.ED that the I ..).;•'„S nri -- 0 r C 1 0 0 U:C OnS it above nand heirs are the sole and only heirs at law of said decedent. Done in Open Court this 17th day of April {( A.D. 1953• n /+ By the Court: �C/tJ(// aid �p e�� P-y�Ct,CoC �"� {, Ju ge ATff_?: TRue COPY o.4e (�.�it :a_ ..• • ry `A -J it Li ivq_' at�-f ii_.... •b , P .N I •-ti • • a + y r 4 ya ) I; t t'4!)()(it; Sutra �\ L� N Ann Spomer, RnwrdSTATE OF COLORADO I Fre r 1S;tjhr 6 itant1TY Adifsiti STANDARD CERTIFICATE OF DEJITB RefIL1nP2NoYZ�DL ,C= U. 5. public Health SePrim I "e i 1 Form Y.S.No.II �/ —' I. la V ss3z�_ //t 2.USUAL RESID_ ENCE cww.�•'p�Ntt•M ryJ LP ounE OF DEATH a.STATE n' eJ , D.D.•4 L.CITY N IWXM rTe.tea'vl�lY.wavelu n •! .th ' I4 SC I.CITY III wYM• Ylh.le..W WILY/'J IElATe. IfYTeY 11✓1 OR MTN - m'K(,�a.a.� (z“i TOWN .aMi y m,A pee reams p( e.TULL NAME OF at net le RMIYI ominous%Dec%Beet S. ee...mom. R•IMtT p !{, L..J HOSPITAL OR y ..DDRESE Il4.••1 it nifebreINSTITUTION i-1. -Or __. .( :i} •or '/ L I'_ DECEASED D[ATM �J /,' /Z /Q•'SI �, q S.ants UI or Mat) ATE OF . , Yaae� Z S. rTx E. z.-LRMc[ 7.MARRIED. 0.,ornl(TL.„..MARRIED YwelDwl [l. : NINTH9 /�Q/ r•A►mTYbin Fi�.+ Lwet LRya yea Men awe ' u.CITIZEN or?MAT IC..USUAL OCCUPATION Min w+r net ID..RIND O/ [VSIM[S30R IN. .[IRTNFLAC[ Lwwrrwww�)y (DVRT[T;5. jam w:W lue,new M eeMr DUSTRT /1 -ashy we r,a r""'di}�>t-Gtr s Q_�.�Pe�e'et� { ,d U.iaH[A'3 NAME N.MAIMS MAIDEN NAME •.a >.'En 0G IR _'VAS ne.CEiSEO EY'tit/ IN U.S. ARM( )T'-. SOCIAL ::tUfN0 R.INFORMANT ��/ 4 ITK m.x wYe-s I IV rye.rl•e�Y f YYe .eeeeet I Off n . .m�ra.�d� 9 / '- r 4,,e f E- Inter CAUSE One eau. ME CAL C {ON mot,. /� Slu tYS SLAIN Enter only one ova LDI TEASE TLY OR CONDITION (bbµ) QC/ a t a' ay Cf�LI- ' Z Der I,ce for P).{!) DIRECTLY LEADING TO DEATIO (a) ' o J • O •TAL den net caw ANTECEDENT CAUSES �//��e��JJ�� 1F'FC� a. 2 me mods of dying. DU[TO fe/'�"""� // c111 .alAl i7C,IL� sue. m hear: Pa- Morrise to Ike scent a.man Fe•elelyg Sie U ' r. It. t < r .aAM• «c w.to N.Jna man(t. .MtiM V•) i 'ton, Ire,Cr too,, N.r.MnlerwO nw wt. -DUE TO (e) 2 Hei„`ddwU. 'A.cA II.OTHER SIGNIFICANT CONDITIONS • f°N ' Condition contributing I.IA.lath but sot x rd.t.d to(As di.ean or vendittoaa retain ReotA_ E^ U.. DATE OF OPER. Its.MAJOR FINDING:OF OPERATION 20.AUTOPSY' .TI , L ATION JTtS O lio rr--It ..5./--"'N r 21..ACCIDENT Pw.Im hit.P AC 40 MJ ` yy-:Y� lit.(CITY,TOWN,OR TOWNSHIP) (COUNTY) (STATE) .eZ-1 SUICIDE _ HOMICIDE Q 21e.TIME nan00 m.0 (r..W Memel 2N.INJURY OCCURRED 1 V.HOW DID!NAP', OCCUR) a. OF WHILE AE NOT WHILE❑ INJURY N won aTwO.e -Y� "� Da t9 to /J'T'" 1, 1y.CL,that I(et few the lecend �'1 E" 22. 1 .orbs rrrti(y ;het r erad IL: ml the/role . �// „hr., a._.___.,[f=_fj_, 7,6'..12, .eRd(hot/drab ore nrd >� s..from she ravened eN At der Freed Ain'. - ' 22..SIGNATURE w.er...tow 1b.ADDRESS I I'a" . 22e DATE SIGNED j{n L��.-L-l✓, 7h. A /A: . yep.'tit II—/9-s/. . 2A.. BURIAL CREMA. 2�RTE tae.NA E Or CEMETX OR CRC?ATORT I I4•J• AT ' ~ Mt. TION, M.OYALv elrp . I Li --' - • C'DS A� I 21,S.a/. L9s/ is " get�. I.DI,aE RECD ST LOCAL REGISTRAR'S SIGNATURE p SS.FUNERAL OUR TnR' .' • .;• y .• li4 (( ••e�.?'yl_�S fGI �EFc �T ..(Y �/. _! _ am_ ' t f d112 jI, ELI.A A. MEAD, M.D., Loral Registrar of Vital Statistics/or the Co ety I.WYU_n"......,, .�k� I. ' �••ylo.; re•7 certify that the above is a full. true, and correct copy of the record of death of e� at+ See,i , in my custody, and now on file in my office...nom ,`:.ye'h , t; f"r .�O..._ clay of. r '— Gircn under my hand and seal this__..___._. Y -".Q�� —('-' . ...cc+-^.-.Ken._ _. ... v a•.... A,�7. .-(. .AL) lyD 2. 200 / :6 • H - , - - e I. d rI � l , v yi �} IN.,...: : cd 0l, v:,'tryire ,h 4 -e .. 1 t ' V tL.. O .lfY. 1 1 f • C 1 - . C H .�t.' .- /Th d r tt Ila •Itl t. 1602073.. , ^ . LART WILL r.1 . Th_. T Se/ a MAHTHA A. JEL E: of el;: County, full and legal age, or sound and disposing mind and me-cry and ' ' under no duress or constraint, do hereby make, publish and de- • dare this to be my Last Will and Testament, hereby revoking , r.1 ' any and all other Wills and God' -"- heretcfc re by me F in, at any time made; that is to say: r' I. it' F2. I di.recb that all of my Just debts, claims and demands r o ,. allowed by the Court, and funeral expenses, be paid out of my ,°9�: __1 - e=2Lte as soon as conveniently nay be after my decease. 14_ II. t, I give, devise and bequeath all of the rest, residue hf. and remainder of my estate, of whatsoever nature or description,/\ ',.. 'i '1 •;) / whether real, personal or mixed and wheresoever situate of which gi C I may die seized and possessed or to which I may be entitled at `,O.K-, the time of my death to my daug G hter, race E. Carlson, if she 1 / survives me; andiin event my said daurnter predeceases me, then all of said rest, residue and remainder shal go :: ,'. be distributed to Edmond Carlson and Carolyn Carlson, children of said Grace E. Carlson, or the survivor thereof, in equal shares, per stirpes and not per capita. III. I have made no provision in this my Will for my son, Alfred B. Jensen, or his children. This omission is intentional on my part but is not to be considered as a lack of affection or regard Cc: my said son or his children. IV. I I hereby name, constitute and appoint my daughter, Grace E. Carlson, to be the Executrix of this my Last Will and Testa- ment; and if she should fail to qualify, or should resign, fail 1. IlL . fiF3t1 1602O'7 1 1! . ' 4. : •or refuse to act either before c: after qualifying, then I 'f .,•. c'-_L name, constitute and appoint-'rhe First National Bank c.^ t,, ' w Greeley, Colorado as Executer of this Ty Last Will and rs}}y.; ': Testament; and I direct that neither thereof be required to '1r give bond for the proper discharge of her or its duties as '1'' such. My said Executrix or Executor shall have the powers ,1*;) ;: • enumerated in the Colorado Fiduciaries' lowers Act. IN WITNEuS WHEREOF, I have hereunto subscribed my name . ' and affixed my seal at Greeley, Weld County, Colorado, this G I" day of January, A.L. 197i _..-_ :,27-'11 (1.kCli_ a _, .L.-LU- 'yl-Y (SEAL) lii 7 r The above and foregoing instrument, consisting of two • v •. (.'?ms.s . "Th. (2) sheets, with this sheet, was, by Martha A. Jensen, the i,r7 above named testatrix, signed, sealed, published and declared + ' �' U! -. as and for her Last Will and Testament, in the presence of us and each of us; and we , then and there, at her request and in her presence and in the presence of each other, believing said �) testatrix to be of full and legal age, of sound mind and memory • 4 and under no duress or constraint, have hereto/ • subscribed our _ names as attesting witnesses thereto, this CI { 'day of ' a. . January, A.D. 1971. / '/1 • �""�e+'�� ' ';-C'ili‘ T,s- i 2L.=«.-, of Greeley , Colorado 7r77of Greeley, Colorado —Tr of Greeley, Colorado • FM 2. , — .: t • . fro«�;N s :Ifc+y Eli, �L�,�g � r. f Pt It t' . v Y•t it60 _L , l ' .1 ytA, lh i / ' e 1 ' . I o/ 'j s.� L • ' ••v1 BOO( 680 _ *; 1 60 2 0'i`) .4 _. . • 7:4., rto Rrdrd In Book • .Y . De<<et File No ": 7 ..1 ?,� I IN THE DISTRICT COURT, IN PROBATE, ,L • STATE OF COLORADO, '" v. County of__. geld l lg _ IN THE MATTER OF •:rt� ' THE RpnATF.OF THE LAST WILL AND TESTA.\I 'ET OF { � P I t'-- Order Adinittin"ANTRA A. re...:431.,:i B Will to Probate ' DECEASED , `a. Now on this day,pursuant to order heretofore mad,in this matter,comes on for hearing the probate ' t. of an instrument in writing, heretofore filed in this Court. purporting to Sc the Last Will and Testament' *arteceelF—^r}rerersof said deceased. .g.: A ' • l AND IT APPEARING TO THE COURT from the records and files herein that citation has been a. - duly served on,or service has been waived by, all necessary parties as provided by law and order of this Court; that lawfully sufficient testimony, proofs and evidence have been presented;and it satisfactorily appearing therefrom that the said instrument in writing 'as "sos ioa;__,,,, declared, and attested as provided by law as said decedent's Last Will and Testament and that said t decedent was eighteen years of age or older Ana of sound mind and memory at the time the same was executed, declared and attested; and no fraud, compulsion or other improper conduct being exhibited, n and the Court being now sufficiently advised in the premise,, v:j% r IT IS THEREFORE ORDERED, ADJUDGED AND DECREED, That the said will •instep.+'. Jr µ d..alwate be and the same is •ar.si.Jiereby admitted to probate and record, ,r} P IT IS FURTHER •!' ORDERED, That upon taking and filing the statutory oath of exccutpkx {' ' (Mitt WEITI2lferring'ttnatCn f-in-The perm lntmrof_ i� 'Y DoharT ,.n condibonedar 't4oaed-by-hrw) that letters testamentary issue to rinse ° ,C.ar19Cn 7ki the extent.Xi Fnamsaid..ed in said will; and now having so taken and filed the said oath (a^A taccdiruoaauL6ond_m4leh+s-vawxh!urs issue '.§ to said execut II A �.befil eland[e) it a therefore f ordered that the said letters issue �, rid that the same be filed and entered of record. YI IT IS FURTHER ORDERED, That said..........Graze. ...a.,.Car.LIon........_.._.... ` ,^' publish a Notice to Creditors as provided by law,said notice d ring 't0 be published at least once • week during each of four successive calendar weeks In ThC_.G re eley..Dn11y..Trib cane a newspaper printed and published in said.. Weld County. i Done in open Court this -tit • II ��Q....._.._._.....__,Ly EY THE SOUR-I: l rTh *Erne according to LcLL _._.._.._,�_.,^,_,_,__... .....Anna(Judie. a 1!:020•!9 .,y :1)" STATE OF COLORADO ) IN THE DISTRICT CG;RT '.i ) as: �e COUNTY OF WELD ) No. 0-12229 tL, T a.; IN THE "NITER OF TJD: ESTATE OF ) DECREE OF FINAL SETTLEIR:NT AND MARTHA A. JENSEN, DECEASED ) ORDER CF DISCHARGE Now on this day co-Tee Grace E. Carlson, the Executrix of the Estate of ;� or Martha A. Jensen, Deceased, and presents to the Court a final report and ; .• supplemental final report of her acts and doings as suer, asks that the same be approved by the Court and that she be discharged and said estate ` ?N1 V decreed to be fully administered according to law. And it appearing to the Court from the records and files herein, and the Court DOD! FIND: That Martha A. Jensen departed this life on or about December 9, 1971; .'S that on the 20th day of December, 1971, Letters Testamentary were issued to Grace E. Carlson; That a Notice to claimants to file claims against said estate was published in the manner as directed by law; that no claims were filed /r-N against said estate; that all coats of administration and inheritance taxes have been paid; } That the statutory period for filing claims has elapsed and that there has been published a proper Notice of the filing of the final report, which Notice fixed August 21, 1972 as the last day for filing with the Court written objections to said report; That full and complete accounting has been made to Grace E. Carlson as the sole residuary beneficiary under the Last Will and Testament of • + ' Martha A. Jensen,• Deceased, and that said Grace E. Carlson has waived the filing of an itemized report of receipts and disbursements; 1 That should it develop that there is any property belonging to said decedent that was not inventoried or administered upon in said estate, then such property belongs and shall be distributed to Grace E. Carlson as the sole residuary beneficiary under the Last Will and Testament of Martha A. Jensen, Deceased; ' .1 4 The Court DOTH FURT)[ZR FIND that said Grace E. Carlson has faithfully administered the estate of said deceased which has come into her hands as Executrix of said estate, and has fully performed her duties as such and as [rovided by law. IT IS, THEREFORE, ORDERED, ADJUDGED AM) DECREED that the said final reports and all acts arui doings of the said Grace E. Carlson in and about the administration of said estate he, and the same are hereby, in all things fully ratified, confirmed and approved by the Court. .. ' , .., . :' :i l IX)ll 1.,:ort- ≤ y,,,A. O 4, 44, h i�j Y And it appearing to the Court that u' the said Gnu's E. Carlson has 1}'t made distribution of said estate and filed receipts therefor in this Court., t• i( I IT IS ORDERED that said Grace E. Carlson Lc, and she is hereby :".3.;:l discharged as such Executrix and released from further liability in the i� � ` ,s premises, and this estate be fully and finally settled and cle,,ed. Done in open Con. t this " clay of )1�+:.�, ' '' 7 t L7 A. D. 10;2. t } BY THE COURT: : DISTRICT JUDGE STATE dF , mijO a≥s, Ccsn.', of :Telj ) _. ' # Y15 I, b:ary )i. Connell, Clerk of the Diotrict Cost of said County do hereby ' l. ; eertifI• that ;.e above and foregoing is a true copy of the Last Will and Testaae,;t 1,`S i rte\ of ",rtha A, Jenson, Decoased, of the (S•der Admitting >.Yii toTrchatn, and of {the Decree a^ Final Settlement and Cyder od Discharge, duly and regularly entered ' by the Court and the originals of which .remain in rlr office, . y,= `- -^F.hand,and the seal of said Co!rt this.�CZAday of Nob h A.D. ~?' +en cr, 1i72. 77 SEAC'ARY C CCM:ELL, Clerk rAL • -- , , ...-- By tr-: -" >_.F e. Deputy t f } t l ^ i •t,::_.._ 1 .'.�.ti -41---t"';•,may,,, .•r ;-- h4 -t n. \. d i.1 rt 07, u,' iL. d,• k�' "tI t', A;.4 i ir ^• t " f. B°°K933 9';/6t !P APR 1 01981 .--=� ' fit O S:aas Ra"ded al —.._._._�_... dd«k _—._..ln._�..— 1854816 %> 4,TGccc.o�c...,9 a cv a1-C <-? S L Stole of Colorado, Weld County Clerk G Recorder a 7' - ---2-a:?/. _LAST WILL AND TESTAMENT PROBATE ORDER BOCK 7 //aa.2, DOCUMENT NO. 4;4-3 I', MARTHA A. JENSEN, of Weld County, Colorado, being of c' full and legal age, of sound and disposing mind and memory and 0 under no duress or constraint, do hereby make, publish and de— dare this to be my Last Will and Testament, hereby revoking 0 any and all other Wills and Codicils to Wills heretofore by me • : 0 fx at any time made; that is to say: _> C I. 1- I direct that all of my just debts, claims and demands u . . . allowed by the Court, and funeral expenses, be paid out of my Hkl ,c-, estate as soon as conveniently may be after my .:�.,.;.,.,e, II, I give, devise and bequeath all of the rest, residue and .N 7i remainder of my estate, of whatsoever nature or description, /fl ".ay whether real, personal or mixed and wheresoever situate of which t, , C. I may die seized and possessed or to which I may be entitled at G : �/A".l the time of my death to my daughter, Grace E. Carlson, if she WY survives me; and in event my said daughter predeceases me, then all of said rest, residue and remainder shall go and be distributed R to Edmond Carlson and Carolyn Carlson, children of said Grace E. Carlson, or the survivor thereof, in equal shares, per stirpes and not per capita. III. I have made no provision in this my Will for my son, Alfred IB. Jensen, or his children. This omission is intentional on my part but is not to be considered as a lack of affection or regard for my said son or his children, IV. ll I hereby name, constitute and appoint my daughter, Grace E. Carlson, to be the Executrix of this my Last Will and Testa- ment; and if she should fail to qualify, or should resign, fail 1. ±.'C':� \ $.. ,v .'�,r r� rii dL:r_.ySt1 i r +. ' 'S '� ��.1tr{4'i'A'i/{ kffiM+ t'i ., for •hi-•�1, .2- .i t i4'.:ti'` Y L ` L!r.` L •sly r 'l♦` � t��13?Lif .d ..•. t... . ...- tw, :11 A... ...a �• l kby.Cv.� a .T. \. -rt•/1'� ,h i 1 ,. sooK qtr; X33 _ 1854815 4u' PROGAtC OROLIt GOOK 7 DOCUMENT NO. _ �;S'L. or refuse to act either before or after qualifying', then I name, constitute and appoint The First National Bank of Greeley, Colorado as Executor of this my Last Will and Testament; and I direct that neither the"-^r be required to give bond for the proper discharge of her or its duties as ^"k M i such, My said Executrix or Executor shall have the powers enumerated in the Colorado Fiduciaries' Powers Act. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my seal at Greeley, Weld County, Colorado, this :'k G.^ 4"-/ day of January, A.D. 1971. �pT•; • ;)/),-2/2.4 , ,,f a C i bL'Ul -ruf (SEAL) + . Ter- The above and foregoing instrument, consisting of two (2) sheets, with this sheet, was, by Martha A. Jensen; the above named testatrix, signed, sealed, published and declared as and for her Last Will and Testament, in the stack presence of us and each of us; and we, then and there, at her request and in her presence and in the presence of each other, believing said testatrix to be of full and legal age, of sound mind and memory �ra. and under no duress or constraint, have heretosubscribed our - ",a / names as attesting witnesses thereto, this (� /t'day of X{ ' a ?P r January, A.D. 1971. •,�,;;�,. of Greeley, ColoradoO:7/ �_// ctAAllI of Greeley, Colorado ' ' • of Greeley, Colorado thel ry of the rte d: W0k.ir. try cFob• . ayy� ..'n. •o IW''tw..oq', note dent •.-t N J,a In Maya f. , • FILED iN 3 ,^.•, •�\�.[ ' I pQ DISTRICT COURT . • c, —t ......_.= ` DEC $1971 •c .i .4As-Cla .d t: Vcl Ca. �, [e rb8 WAY Lt •L • WAY + Ti+ ,3 •:gu .L. 2. ci ro< I ,.. { t�.:7 •I',CY x_21 GYfI . Hello