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<br /> 21817—The Augustine Co., County 8upplies, Grand Island, Nebr.
<br /> IT IS FURTHER ORDERED tnat a copy oP this order be published once each week for three
<br />, auccessive weeks in the Grand Island Independent, a le�al newspaper, printed, published
<br /> and of general circulation in Ha11 County, Nebraska.
<br /> Dated this 17th day of March, 1945.
<br /> (a) E.a.Rro er
<br /> is rict u e
<br /> �TATE OF NEBRASKA ) I, D.O.Beckmann, Clerk of the Histrict Court, within and for said
<br /> COUNTY OF xALL ) ss• County and State, do hereby certify that I have compared the fore-
<br /> going copy of the ORDER in the case of In the matter of the Application of Anna M.Bruhn,
<br /> (�uardian of the Estate of Carl Joehnck, an incompetent, for leave to sell real estate,
<br /> filed by naid Court of the 17th day of March, A.D., 1g�+5, with the original filed in my
<br /> office and that the same is a correc� tranacript thereof, and of the whole of said original.
<br /> IN TESTIMONY WHEREOF, I h�?ve hereunto set my hand and caused to be affixed the official
<br /> seal of said Court, at the �ity of arand Island, this 29th daq o�' May, A.D.,. �9�+5•
<br /> D.0.B e ckmann
<br /> (SEAL) Cler of e istric Court
<br /> Filed for record this 29 day oP May, i945, at i: 20 0� cloek P.M.� ����d�
<br /> eg a er of ee
<br /> o-o-o-o-o-o-a-o-o-o-o-o-o-a-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-
<br /> CERTIFICATE OF DEATH
<br /> STATE OF NEBRASKA L 1896
<br /> Depart�ent of Commerce DEPARTMENT OF HEALTH
<br /> Bureau af the CQnsus Division of�ita,l Statistics
<br /> l. PLACEOFDEATH CERTIF I CATE OF DEATH
<br /> County Hall
<br /> Township ----- ( I�' death occurred in a hospital or institution
<br /> City Grand Island Street 1212 l�. 7 ( give its NAME instead oP street and number
<br /> Length of residence ar�h city or town where death accured 15 yr. --mo.--days. How long
<br /> in U.B. if of �e�re�gn b�rth --yr. --mo. -- da.
<br /> 2. FULL NA ME William Alexander Nicholas
<br /> 2a. Residence: State Nebr. County Ha11 Cit.v Grand Isl,and _Nv. 1212 Street W.7.
<br /> P�SONAL AND STATISTiCAL PARTICULARS.
<br /> 3. SEJ� Male
<br /> l�, COLOR OR RACE White
<br /> 5. SINGLE (wirte the word) Married Yes Widowed Divorced.
<br /> 5a,. If married, widowec� or divorced
<br /> HUSBAND of Emma Nieholas
<br /> or
<br /> WIFE o f - -------------
<br /> ` b. DATE OF BIRTH (rno. ) Se�b. (day) � (yeas) 1�61
<br /> 7. Age Years 78 Month 5 Days 11 If less tna,n 1 day Hrs. or �in.
<br /> OCCUPATION
<br /> �. Tr�de, profession or particular kind of work done, as spinner, sawyer,bookkeeper,
<br /> etc. ---Retired.
<br /> 9. Inc�ustry or business in which work was done, ag sild mill, saw mill, bank, etc ----
<br /> � 10. Date deceased last worked at this occupation (month and year) .
<br /> 11. Tota.l time �yeaxs spent in this occupatic�n.
<br /> 12 Birthplace City or Totan Wisconsin
<br /> and
<br /> State or Country
<br /> , 13. Name of Father Alexander
<br /> � 11E. Birthplace of Father City or Town
<br /> a.nd
<br /> State of Country Ohio.
<br /> 15. Niaiden name of' 1Mother Silvia Burge
<br /> 16. B3.rthplace of Mother City or Tot,m
<br /> � and
<br /> St�te or Country. Eng. ,
<br /> 17. INFORMANT Mrs. W.A.Nicholas .
<br /> (Address) Grand Island,
<br /> 1�. BURIAL, CR�IA.TION, or RE�IOVAL
<br /> Place Palmer, Nebr. Date Feb. 21, lg4o.
<br /> 19. UNDE'RTAKER F.G. Evans
<br /> (Addr ess) Grand Island, Nebr.
<br /> 20. Filed Feb. 22, 19�+0.
<br /> C.3.White
<br /> Registrar.
<br /> � MEDICAL CERTIFICATE OF DEATH.
<br /> 21. Date of 1Death Feb. 19, 19�+0
<br /> 22. I HEREBY CERTIFY, That I attended deceased Prom March, 1925 to Feb. 19, 1940
<br /> Z last saw him alive on Feb. 1�, 1940, death is said to have occurred on the date
<br /> stated above at �+:JO A.M. The principal cauc e of death and related caus�y_of importance
<br /> ii�_�urc�.er of onset were as follows: �
<br /> Empy�ma of'. Gallbladder & Choleletrii�is Date of Onset Important Feb. 13, 1940.
<br /> Contributory eauses of importanee but related to principal cause: Arterial Sclerosis &
<br /> hyperten��nn, Hemplegia (leftr� from apoplexy. �
<br /> Name of operation ------- Date oP
<br /> Wh�t test confirmed diag msis -- -J�.un�.ice ?^1as therean autopey i�.
<br /> 2�. If death wa� du e to external causes (violence) f ill in al�o the f'ollowin� -
<br /> «� Acciden'G, auicide or himicide Date of 19--
<br /> Where did in,�ury occur (3peciYy city or town, county and state)
<br /> Speci�'y whether in�jury occurred in i.ndustry, in home or in public place.
<br /> Ma.nner of in,jury
<br /> ��ture of in�ury.
<br /> 2�. Was disease or in,jury in any way relating to occupation of deceased No.
<br /> I�' so, specify ----
<br /> signed Wilmer D.McQrath M.D.
<br /> (Addr ess) Grand Island, Nebr. .
<br /> 25. I hereby certify I person�.11y e�nbalmed the body o�' the deceased named herein.
<br /> -------------License No----
<br /> THIS CERTIFIES THE ABOVE TO BE A 'IRUE COPY OF AN ORIGINAL CERTIFICATE ON FILE t^IITH THE
<br /> DIVISION OF VI�AL STATISTICS STATE 1�EPARTMENT OF HEALTH,VJHICH IS THE LEGAL DEPOSITORY
<br /> FOR SAME. �S�� C.A.Selby M. D. 9TATE REGISTR�R
<br /> , LINCOLN,NEBRASKA FEB 16, �j44
<br /> Filed for record this 29th day of May, 19�5, at 1:20 o� clock P.M. �-�-°-�W-"��
<br /> � ____� i<s�er of Deeds
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