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<br /> 17604—The Augustine Co., County 3upplies, Grand Island, Nebr. �
<br /> CERTIFICATE OF DEATH ,�
<br /> � NEBAASKA (E5TATE) DEPA�TMENT OF HEALTH
<br /> STANDARD CERTIFICATE OF DEATH N �j��
<br /> DEPARTNiENT OF COMNtERCE 5tate File No ._________�
<br /> BUREAU OF THE CENSUS
<br /> �b€�i;�. 5ecurity No.
<br /> l.PLAC� OF BIRTH
<br /> (a) Coun�y of Hall
<br /> (b) City or Town Grand Ial.and
<br /> (If outside city or town lim�.ts wri�e RURAL)
<br /> (c) Nam� of hospita2 or Institution:
<br /> 22I �1.5�h '
<br /> ( I� not in hospital or ins'Gitution write street number or locat�,on)
<br /> �d) Length of stay: in hospital or 3.nsti.tution
<br /> Speeify wheth�r��
<br /> In this community 71 ,years.
<br /> years,montrs or �.a��,�
<br /> 3 ( a) FULL NAME Fred Spangenberg
<br /> 3 (b) IP veteran.
<br /> n€.�m e war �
<br /> �+.�ex Nale S.C���ror race Wh3te � .�a Single,widoa�ed,married,divorced Mar. ,
<br /> 6 (b) Narne of 'rzusband or wi�'e Rena J�ne Case 6 (c) Age of husband or wife if ali�e 63 y�s..,-
<br /> 7.Birth d.a,te of deceased Jan.�+,1�71 (Month) (D�.y) (Year)
<br /> �.A�?E Years 71 PJlonths 0 Days 9 If less than one day hr. min.
<br /> 9.�if��h�il�zc�eGrand Is?and,Nebraska (City,'�own,or county State or foreign country)
<br /> Z0. Usua1. occupation Ret3.red Switchman 11.Indus'�ry or business Railraa.din� Mother Father
<br /> I2.Name Fred Span�enberg,l3.Eirthplace No Record. (City,Town, or eounty) Germany ( Bt�'�e or
<br /> foreign country) 1�.I��aiden name Louise Budde,lS,Birthpl��e No Reeord. (�ity, Town, or eounty)
<br /> Germany (St�.t� or foreign country) 16. (a Infoxmant ' s own $ignature Mrs Rena Span��n�erg
<br /> (b) Address �rand Island,Nebr. 17. {a� Burial (b) Date thereof ��fantk�� , ��ay) ' (Y�ar:� � ;
<br /> (_�uri�,�.;cr�mation; ox r�e�QVe�l� (�). P1a:ee: buri�.3: °0�.� crerriation Grancl T$land,N�br�:l� (a)
<br /> Si nature of funeral d3�e��vr Livingatvn - Sonclermann (b} AddresB C#r�nd Island,Nebr, l9.
<br /> (a� Jan 22,1�42 (b) F.S.1�ih�.te (Date rec�3.ved Ioca3 reg�strar} (Re�istra,r' s signature)
<br /> 2.USUAL RESIDENCE OF DECEASED: (a) Sta�� Nebra�ka (b) Coun�y Hall (e) City or ta�vn Grand
<br /> Island ( If ou�s�.de ci��► or town limits,write RURAL) ( d) Street No .221 W.Sth ( IP ?�aral give
<br /> Zocation) ( e) Sf foreign born, how long t�. LT.S.A. : �, year� 1l2EDICAL CERTIFICATION
<br /> ��.Date of death: ,ontheJ�:�?.. tiay 13,1942 � hour 30 minute A.M. 21.i her�by certi�'y �hat I
<br /> attended the decea�ed �'rom Jan 13,1942 to Jany 13,1942 that I las� saw him all.ve on �7any
<br /> 5 1942 and that death occured on �he date and hour stat�d above. Duration Immediate cau�e
<br /> of death Coronary Oeclusion inatant Due to G�neral Orterio Du� to �eleros�s
<br /> 23. S3 nature �ar1e G.Johnson TJI.D. Addreas 306-� No.Locust When aigned 1-1�-�F2
<br /> Grand �sland Neb.
<br /> N.B. Tnis is a permanent record.Every i�em of informa�ion shoul d b�; eare�'ully supplied.
<br /> AGE should be atated EXAC�'LY. Exact statement of occupa�ion i� 3.mpor�ant.G3.ve cause oF
<br /> death in plain terms. TO BE ACCOMPLISHED WHEIJ B@DY TS ENiBALMED.
<br /> James D.Living5ton License No.l��5
<br /> This cert,i�ies the a�hove to be a true co?�ur of an orioinal c�rti�ieate on �'i1e wi'�h the
<br /> division of vital statistics �tate D�par�Gm�nt o�' health,which is the legal deposi�ory
<br /> for sa.me.
<br /> A.L.Mi11er M.D.
<br /> (SEAL) Direa�ar: of Health and Division of
<br /> Linooln,Nebraska Apr 2� 1g�F2. Vita1 S�atietics.
<br /> S�ATE REGI S TFiA,R
<br /> Reeorder Hall County,
<br /> Grand Island,Nebr.
<br /> Please plaee �his Death Certi�'icat�, shown on the reverse side her�..
<br /> of, on r�cord in connection with the following �wo p3.eces of real esta'�e locat�d in Ha11
<br /> Co. ,Nebr.
<br /> '�Lot Four (�) , in Block Thirty-Two (32) ,in the Original Town,now �ity,oP Grand Island, in
<br /> Hall County, 5tate of Nebra�ka. '�
<br /> '7�e Easterly Fifty-Six (56) Feet of the Northerly Seventy-Five (75) Feet of Lot OMe (1) ,
<br /> in Block F1.-?teen ( 15? , in �he Ori�inal Town,now City, of Grand Is1a:�d, in Ha11 Coun�y, S�ate
<br /> of Neb-raska. "
<br /> Rena �pang�nberg
<br /> a widow.
<br /> Filed for record this 7 day of November,l9�-2,at 11:30 0 'clock �£.M.
<br /> \�JC-c��r�-�L �
<br /> REg�.BtGY'_.OP DG'�C2 S+^
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