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<br /> �Jt� SC��IL,��T���J� R�C ��� IJ
<br /> 21817—The Augustine Co., County Suppliea, Grand Island, Nebr.
<br /> 5a. If ma.rried, wiclo?aed or divorced
<br /> H'JSBA;dor of Ellen Havey - diceased
<br /> �n1IFE of
<br /> 6. � D�.TE OF BIRTH June 19, 1�6�
<br /> 7. Age Years Months Dafs If less than 1 day
<br /> 72 � 22 Hrs. ---or T�iin.----
<br /> �. Tra.de, ��rofession, or particular
<br /> kind of T�rork done, as s�inr�er,
<br /> saTaye.r, �ookkeepAr, etc. Retired farmer
<br /> 9. Industi�� or business in which T�TOrk was done,
<br /> as silk mill, saw mill, bank, etc. -----------
<br /> 10. Date dece�.sed last taorked at this occupation (month and year )
<br /> 11. Tatal time (years) spe�it in t'riis occupa.tion --------
<br /> 12. Birthplace (City or town -Louis�rille,
<br /> ( �,nd
<br /> (St�te or country --Kentucky
<br /> 13. Name of Father Brien Havey
<br /> ( City or town
<br /> 14. B�irthplace of ( and
<br /> Father ( Sta.te or country --Irel.and
<br /> 15. Maiden name of Mother Bridget Fenerty
<br /> ( City or to�:Tn
<br /> 15. Birthplace of ( dnc_
<br /> M^ther ( St��te or country --Ireland
<br /> 17. INFORMANT M�s.Edna Maughan
<br /> (Address) Wood �iver, Nebrask�..
<br /> 1�. B'JRIAL, CREMATION, OR REMOVAL
<br /> Place St. Mary� s Cemetery D�te 3-1�- 19;U
<br /> 19. UPJDE�'�`I'AK�"R Boyd W.Heeren
<br /> (Address) Wood River, N�br.
<br /> 20. Filed 3/14 193� ��T.P. Connor Registrar.
<br /> MEDICAL CERTIFICATE OF DEATH
<br /> 21. DATE OF DEATH March 11 193�.
<br /> 22. I HEF,EBY CE..RTIFY, Th�t I attended deceased frcm Febr. 10, �93� to Mar. 11 1�3�.
<br /> I last sa�a him alive on Mar. 11, 193� death is saia to h��ve occurred on the da.te
<br /> stated a��OVP at � A.M.
<br /> The principal cause of dea.t:�l ��nd rel�ted causes of imp�vrtance in order of onset ?�ere
<br /> a.s follows: ( Date of onset
<br /> CancPr of throat & cervical area ( 1937
<br /> ContributorJ cauGes of im��vrtance not related to nrinci�al causes:
<br /> Name af operation ----- Date of -----
<br /> Wh�t test confirmed diagnosis - yras there an autopsy
<br /> 23. �f death �.a�s due to external causes (violence) .fill in also the f^llowing:
<br /> Accident, suicide, or hqm3.�ide---- Date of in�ury ------, 19--
<br /> Where did in,�ury occur ---------------------_________._---------
<br /> ( specify city or to-�rn, county and Sta.te�
<br /> specify ��vhether in,jury occurr�d in industry, in home, or in public place.
<br /> Manner of in,jury
<br /> Nature of in,jury
<br /> 24. Was disease or in,j�ar� in ariy way related to occupation of' deceased -----
<br /> If so, specify ----------___
<br /> (Si�ned) A.T.Hubbell M. D.
<br /> (Address) Wpod �iver, Nebr.
<br /> THIS CERTIFI�'S �HE ABOVE TO BE A TRJE COPY OF AN ORTGINAL CERTIFICATE ON FILE WITH THE
<br /> DIVISIOP�i OF VITAL STATISTICS 5TATE DEPARTI�E:�T OF H�ALT:i, �aHICH IS THE LEGAL DEPOSITORY
<br /> FOR SA��1E. C.A. Selby M. D.
<br /> (SFAL) STATE REGISTRAR
<br /> LINCOLiJ,NEBRASKA Jan. 13 1943
<br /> Filec? for record this 19 d��y of January, 1943, �t �: �0 0 ' clock P. M. ��'�C J����
<br /> e��istPr of eeds
<br /> O_r�_:�_�_�_�_�_�_r�_�-0_r�_r�_�_�_�_��_'7-�_�_�_J_�- �_�_�-�_;�_�_�-�_�V_�_p_�_p_,�_�_�_�_,�-0-0_�+
<br /> FARP�i LE,qSE y,�
<br /> THIS AGREEP�ENT, Made and entered into this -- d�.y of.' ------- A. D. 19�+- , by and bet�rreen
<br /> Alice F.La.ngan, pa.rt;� of the first r��rt, and H. J. Lautenschlager, party of the second pa.rt,
<br /> ��IITidESSETH, That �he s�aid party of the first �art has tnis day leased �_into the party of
<br /> �he seconr� ptzrt t��7e follo��rin�; de�cribPd property, situated in t�1e County -Hall and State
<br /> o f Nebra ska to-��ri t:
<br /> South Ha.lf (�o�) of tnP North�ae st Quarter (iVW�) Section T?ae��ty (20) , Township Ten
<br /> (10) , :�a.nge Eleven (11) '�est of t?�ie Sixth P.M.
<br /> The So2Nti�d4 quarter of section 20, in Township 10, R��.noe 11 ��est of the 6th P.t�I. , to�ethPr
<br /> taith �he ���?ildin�;s ancl imnrovements t�iereon and thereto a*�pert�inin; from the lst d�y of
<br /> March, 1943, to t11e lst d�y cf r�a.rch 194t�-, and th? sa.id secona party in consideration of
<br /> thP leasin�-,; of t�ze above �aremi^�es, hereby covenants arid agrees with the s��id party of the
<br /> first p<�rt to pay the s�id Uarty of trie first part as reiit for the same as follows, to-wit:
<br /> -
<br /> One �tznd_red Dallars cash re�zt a ��.ble Ma lst 1 � . One/Tizird of all rain delivered t �
<br /> P Y Y , 9 3 �
<br /> 0
<br /> market.
<br /> Party of' the first part reserves one steel bin and scale house.
<br /> AA1D IT IS FURTH�R EXPRESSLY AG�EED bet��reen the partie� hereto t�at the said party of the
<br /> first �art should_ she deem it nece�sary may, at the cost and expense of the narty of the
<br /> second part, eMploy men and teams to go uT�on said Uremis�s and cultiv�te tY�e crops and
<br /> harvest t'��m or to do anything t:nat is necessary to promote their grouth or save them at
<br /> any time befo�� they �.re in the gra,naries, the whole expense of the s�,me to i�P a lien upon
<br /> said secor:�� part��s share of said crops.
<br /> AND IT IS ^URTHER EXPRES�LY AGREED by the party of .�he second part th�t he ttiTil.l carefully
<br /> protect all buildings, fences ��nc� improvements of every kin� tilat �re no�a nn said premises
<br />
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