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<br /> �JI� SC �E�,�L.c�,�T]E��J� ��E� �]i�� �J
<br /> 21917—The Augustine Co., County Suppllea, Grand Island, Nebr. ,
<br /> �9 (�,) 3_�_ 19�3 (b) J. C. Schroieer
<br /> fDate received local registrar Registrar s signa.ture )
<br /> MEDICAL CERTIFICATION
<br /> 20. Da.te of death Month Ma.r. da.y 6 1943
<br /> 5 hour 20 minutes A. P�I.
<br /> 21. I hereby certify th�t I a,ttended the deceased from Jan. 19�2 to Mar. 6, 19�-3
<br /> th�t I 1�.st saw her alive on Mx.r. 3, Zg43 Dur�,tion
<br /> and that d.e�.th occurred on tne date and .hour stated above.
<br /> Immediate cause of de�.th Carinonia of Rectum
<br /> Due to
<br /> Due to 46D
<br /> Otner conditions - - - - - - - - - - - - - - PHYSICIAN
<br /> Include �regnancy ?�*ithin 3 months of death� Underline
<br /> Ma,jor findings the cause to
<br /> Of aperations which death
<br /> Of a.utopsy should be
<br /> . charged sta-
<br /> �i�s��.�a�:ly.
<br /> 22. If de�.th ��*�s due to extern�,l c�uGes, fill in tne fellowin�:
<br /> (a) Accid�nt, suicide, or homieide � specif y)
<br /> (b) Date of occurence �
<br /> ( c) T�h?re dic� in,jury occur
<br /> City or 'own County) ( State)
<br /> (d) Did in�ury occur in or about home, on farm, in industrial T�lace, in bublic place
<br /> ��� Specify tybe of pla��e)
<br /> While at 5.1Tork - Means of in,jury ---------
<br /> 22. Sign�.ture Lloyd Ragan M. D. -e�-e��e�
<br /> Add.ress David City, Nebr. Date signed 3!6/�3 .
<br /> THIS CERTIFIES THE ABOVE TO BE A TRUE COPY OF AN ORIGINAL C�RTIFICATE ON FILE WITH THE
<br /> DIVS�ION OF VITAL STATISTICS STATE OF DEPARTt�IEi1T OF HEALTH, ?n1HICH IS THE LEGAL DEPOSI-
<br /> TORY FOR SAP�iE.
<br /> ( SEAL) C.A. Selby M. D.
<br /> STATE REGISTRAR
<br /> LINCOLN, NEBRASKA �ct. 27, 1g43
<br /> Filed for recorc� this 20 day of November, 19�+3, at 10:�-5 0 � clock A.I�I. "�
<br /> � �Re i��.�= o eds
<br /> 0-0-0-0-0-0-�J-0-0-0-0-0-�-0-0-0-0-0-0-^-C-^v-0- �--"_0-0-0-0-0-0-0-0- 0-��`" 0- 0_ _0-0_
<br /> ASSIGNPdEN1' OF REIITS ,�
<br /> K�VOW ALL MEPd BY THESE PRESEN`I'S, Th�t �ae, tne undersigned, Linda Rickert and Charles J.
<br /> Rickert Wife �nd Husband, of Grand Island, County of Hall, State of �ebraska, for and in
<br /> � _
<br /> consideration of Fifteen Hundred DOLLARS, to us as a loan in hana pa,id by the NEBRASKA 5T'ATE
<br /> ^�� T N C Frem nt Dod C nt St t N
<br /> SAVINGS A��D LCAF1 A�--OCIA IO , of. trie ity of o , ge ou y, a e of ebraska, and
<br /> otner good and valu<�,ble consideration, the receipt whereof is herPby �,cknowledged, do hereby
<br /> assign, tr�nsfer and set over to the NEBRASKA STATE SAVINGS AND LOAN ASSOCIATION, as col-
<br /> lateral security for said loan, the rents a.nd revenue accruing for the period of the dura-
<br /> ti�n of loan hereof, upon the f'ollowing described proz�erty situated iri t�rand Island, County
<br /> of Hall, State of Nebras��a, to-tiait:
<br /> � Lot One, B?_ock One Hundred Forty-six, Union Pacific Railway Comp�ny' s Second
<br /> � Addition tQ (�r�nd Island, Nebr�ska. Also the Northerl� One-half of Lot Four,
<br /> � Block Ninety-three, �riginal To�nm, now City of Grand sland, Hall County, Nebra.ska.
<br /> Ancl we hereby authori2�e and empower the NEBRASKA STATE SAVINGS AND LOAN ASSOCZATION
<br /> � its �uthorized agents a.nd �.ttorneys to act for us, and rent the a bove described premises,
<br /> and_ in our pla.ce collect and receipt for s�id rent, either monthly, quarterly or yearly,
<br /> � a.s they may �ee fit.
<br /> � This assignment of rent being made for the express purpose of being applied to payments
<br /> � of mont;.ly dues on my sha.rPS, Certific�.te No. 30154 and interest and fines on a loan of
<br /> Fifteen Hundred ��1500.00) DOLLARS, ma.de to us on the above described property by the said
<br /> � NEBRASKA STATE SAVInGS AND LOAN ASSOCIATION.
<br /> • � 8�.id Association m��.y, in its discretiofz, use the rents so far a.s neeessary for the
<br /> purpose of m��kii7�, such repfl.irs uvon the premisF� as, in its ,judgment, may be prot�er a.n�. ma.y
<br /> use said. r. ents sa f�r as necessary for tne payment of insurance x�remiums and taxes upon said
<br /> premises, tile balance to be applied upon the U<�yment of montnly dues, interest and. ffnes on
<br /> sa.id certificate a_nd lo�n.
<br /> � This assignm�nt ar�d transfer of rents �nd revenue to be abso.lute to the extent of the
<br /> monthly dues, interest ancl �'ines on said loan until the time w�:en said loan shall be fully
<br /> pa,id o�^ this instr��.�ment canceled by the Association,
<br /> Dated this 20 d�.y of Nov. A. D. 19�+3•
<br /> WITNESiES:
<br /> _ _ _ _ _ _ _ _ _ Linda Rickert ( SEAL)
<br /> Charles J.Rickert ( SEAL)
<br /> STATE OF NEBRASKA ) On this 20 day of Nov. A. D. 1943, before me, the subscriber, a
<br /> COUNiY OF HALL ) Notary Public, duly commissione�. and qualified for and resi�ing in
<br /> s�.id founty of Hall, personally ap�eared Lind�. Rickert �.nd Ch�.rles J.Ricksrt, W�fe and
<br /> Husba,nd, to me known to bP thP identical persons described in and Taho executed the fore-
<br /> going instrument a.s grantor a.nd they severally acknowledged the said instrument to be their
<br /> voluntary act and deed.
<br /> IN WITNESS WHEREOF, I have hereunto set my hand a.nd Nota.rial Seal at Grand Isla.nd, in
<br /> said County, the day and ye<-r last above written.
<br /> H. T.Brown
<br /> ( SEAL) Notary Pu�lic
<br /> r�y commission expires Nov. 27, 19�� � ��� ��
<br /> Filed for record this 26th day of November, 1943, at 11� 30 o clock A.M. g�� s e o Deeds
<br /> �r �� ��-,c�-�.
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