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<br /> 1VV��. S� ���.,A1�1EC��JS R�C ORD S
<br /> TNEl1U6U{TIN[CO.12797 ' � - �
<br /> 12. Birtholace City or tovan -----Grand Island
<br /> and � �
<br /> State or country---Nebr�.ska
<br /> 13. Name of Father Henry Behring
<br /> 11�. Birthplace of �ather City or town--Holstein
<br /> an d
<br /> State or country-- Germ�,ny.
<br /> 15. Maiden name oP Mother �tatilda Schultz
<br /> 16. Birthplace of Mother City or town-Holstein
<br /> and
<br /> State or country-- Gernany
<br /> 17. INFORi��A�TT MrG. Rosie Behring
<br /> (Address) Grand Island,Nebra�ka.
<br /> I,g, gfirRTAL� CREI�';t1TI0N� OR REII��OVAL.
<br /> Place Gr�,nd Isl�.nd, Date Mar. 12, 1936.
<br /> ].9. UNDERTAKER Livin�ston-Sondermann Co.
<br /> Address Grand Island,Nebraska.
<br /> 20. Filed Mar. 1�,1936 Margaret P.Stahlnecker Registrar.
<br /> MEDICAL CERTI�'ICATE OF DEATH
<br /> 21. DATE OF DEATH March 9, 1936
<br /> 22. I HEREBY CERTIFY, th�.t I attended deceased from ------ 19-- to-------19-- I last saw h--
<br /> alive on ----- 19--, death is said. to have occured on the date stated above, at ------ N.
<br /> The principal ��aa�� of death and related causes oY importance in order of on�et were as follqws
<br /> Suicide Date of onaet ----
<br /> Shot gun wound.
<br /> Contributory causes oP importance not related to p�incipal causes :
<br /> Name of operation Date of What test con�irmed dia�nosis V7as therean autopsy
<br /> 23. IP dea.th was due to external causes (violence) fill in also the followin� : suicide
<br /> �lhere did in�ury occur Hal1 G�unty, Nebrasl;.a.
<br /> (S�ecify city or tovrn, county and State) .
<br /> Specify whetn�r in,jury occured in Industry, in hom� or in public place.
<br /> �,nner of in,jury --Shotgun placed in mouth.
<br /> Nature of SnJury -------
<br /> 2�+. W�s disease or in�ury in any vray related to occupation of deceased --------
<br /> IP ao, specify -----------
<br /> (Signed) �aniel Sanders Sheriff
<br /> (Address) Grand Ialand,Nebraska.
<br /> I hereby certify th�,t the foregoing is a true copy of the certificate of death of Louis �ehring, ,
<br /> flled v�ith the Division oP Vital Statistics, Department of Health.
<br /> ��L� Jean Barrett
<br /> � � 5tate Re�istrar.
<br /> Lincoln, Nebraska, June 25, 1937•
<br /> AF��' IDAVIT
<br /> STATE OF RIEBRASKA )
<br /> ) ss. , .
<br /> HAI.,L C Ot�NTY )
<br /> A.E.Cady, oP la�vful a�e, first being duly sworn, deboseg and says t�iat he was well acquainted with
<br /> one Louis Behring, who, with his wife, Rosa Behring, received title as �oint tenants with the rig�t
<br /> of surv�.vorship, to the North Half oP the Northwest quarter (N2 NW4) oP Section Twenty-Seven (27)
<br /> and the Southeast Qu�.rter oP Section Ttifi�enty-One (21) , all in Township Twelve (12) North, Ra.n�e
<br /> Ten (10) , Weat of the 6th P.R�I. , Hall County, Nebr��ska, by Warranty Deed dated April l�, 1932, which
<br /> was recorded in Book 73,Page 205 oP the Deed Recorda of Hall County, Nebraska.
<br /> That he v�as also well acquainted with one Louie Behring who departed this life on �iarch 9, 1936 at
<br /> hie home near Grand Igland,Nebraska.
<br /> A��iant Purther deposes and says that he knows of his own personal knowledge that the said Louis
<br /> Behring, who vaas one of. the grantees in the �arranty Deed mentioned above, and the said Louis
<br /> Behring, w�io died on �iarch 9, 1936, were one and the same person.
<br /> Further aff i�.nt saith not.
<br /> A.E.Cady
<br /> Subacribed ar�d aworn to before me this 26th day aP June, 1937.
<br /> E.R.Guendel
<br /> ( ��,L) � Notary Public
<br /> N�y Commission Expires Aug. 29, 19�+2.
<br /> Filed for record this 26 day of June , 1937, �t 11:30 o 'clock A.�I. (J(-L�2�-d V✓
<br /> �
<br /> RegiQter of Deeds
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