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��� . <br /> A�JL� ������ 1 V JL.O� �.J � JL� JL�`� �11�1� �J <br />' 21917—The Augustlne Co., County Bupplies, Grand Island, Nebr. -� <br /> I�.,...:_... <br /> (d) Did injury occur in or about home,on farm, in industiral place, in public place -- <br /> While at work �e) �eana o� in,�ury <br /> 23. Signa'Gure Louis J.�d�in�tein Ma,�or (M.D. or other) MC <br /> Address �itzsimons aH, Denver, Colo. Date signed �j-1�-�-5 <br /> STATE OF COLORADO, SSt <br /> I herel�y certify that the above is a true, fu11 and correct copy of the original <br />� certifieate, in my custody a,nd not�t on file in mu office. <br /> Witneas my har�d and offieial seal at Denver, in said State, this 26'�h day of June,A.D. <br /> 1g�+5. <br /> R.L. Cl e er e M.D. <br /> (SEAL) 9 F STATISTIC� <br /> • K. C.Nac�a�el <br /> E OF AL <br /> STATISTICB. <br /> Fil ed for re co�-°d thi s 21 day of Decemb er, 19�+5, at 3�00 0 � clo ck P. M. <br /> . � "��-�.� <br />' egi s�er of e d <br /> 0-0-0-0-0-�-�-�-��-�-0-0-�=0-0-�-0-�-0-�-C�-0-0-0-0-0-0-�-�-0-0-�-0-0-fl-0-0-0-0-0-0-0-0-0-0- <br /> NOTTCE OF LIF,�T <br /> TO �iOM IT MAY CONCERN: <br /> Notice ia hereby �iven that Nitzel and Company,a Corporation elaims a Iien againet the <br /> following described property: <br /> Lot Nine (9) Abrahameon's Third Sub-division located on and being a 3ubdivieion o� Bloels <br /> Twenty (20) Schimmer' s Addit'ion to tEze City o� Grand �sland,Hall Coun�y,Nebr. <br /> Sn the amount of Thirty Nine Dollars and FiPty Centa ( �39.5�,for work,labor and aervices <br /> perYormed in eo�nection with the sale oP said property. <br /> Dated this 2lst day of December,19�5. �ditzel and Company _ <br /> . . _. � _ . f�' By J.H.�iitzel <br /> State o�' Nebraska ) <br /> )ss. �n thia 21et day oY December,l��5 before me, the undersigned <br /> County o� Hall ) a Notary Public, duly Qommis8ioned and qualiPisd �or and resid- <br /> ing in said County,personally aame J.H.1�itzel,Presiden� o�' the <br /> Nitzel and Company,A Corporation, to me known to be the identical persons whose riame is <br /> af�ixed to the fore�;oin� instrument and acknowled�;ed the same to be his volun'�ary act and <br /> deed. � <br /> (SEAL) E.B.Franel <br /> My Commission expires Apr.�,1946 Notary Public <br /> Filed �or record this 21 day o� December,1945,at � o'elock P.�I. y`� . � <br /> .�egi-ster of Deede "� <br /> -o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-a-o-o-o-o-o-o-o-o-o-o-o-o-o-c�-o-o-o-o-o=o- <br /> AFFIUAVIT <br /> BTATE �F PdEBRASKA, ) . <br /> ) $e GRAND ISLAND ABST'RACT CO��PAtvY,Bonded �Abs'�rac'�ers,ITd AND F�A <br /> HALL v"OUNT�. ) HALL OiTP3TY,TdEBRASKA,do hereby certiYy that we are well s�- <br /> quainted with the plats and descriptions of' varioua addi'Cions <br /> to the City oP Grand Island,Nebraeka,nar�ely: Railroad Addition and the �riginal Town o� <br /> Grand Island,Nebraska. , ' <br /> We hereby certiPp that Lot Or�e (1) Block One Hundred Sixteen (116� in Railroad Additi-on <br /> to the City oP Grand Island,Nebraska.,has been erroniously deseribed as Lot- �ne (1) in <br /> Bloek 116,in the Town oP Grand Islaxid,lVebraaka,and �ve hereby certify that �there �►as no � <br /> other Lot 1,Bloek 116 in the City of Grand Island,Nebraska,and that the de�scription should <br /> be Lot One (1) ,Bloek One Hundred Sixteen (li6) in Railroad Addition to the City o� Grand <br /> Island,Nebraska. � <br /> Further a�Piant saith not. GRAND ISLAND ABSIRAC2 CO�P,A�TY <br /> BY Ruth 9wanaon <br /> (Bond EXP. Nov.l5,1g�+6. ) Bonded Abstracter <br /> Filed for record this 26 day ot �ecember,19�F5,at 1I :30 o 'elock A.M. � <br /> � <br /> Register oP Deed <br /> -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-o-o-o-o-o-o-o-o-o-o-o-o-o- - <br /> AFFIDAVIT <br /> State of Nebraska, ) <br /> )SS. J.H.�IcConnell being first duly sworm on his oath atates that <br /> �ouglas Co�nty ) he ie the same person who,as administrator o� '�S#�e eetate o� <br /> It�onroe M.Congdon,decea�ed,executed an admin3strator�s deed <br /> to Lot 1,Block 116,Rail::°�c�ad'Addition to the City oP Grand Island,Nebraska,on April 17" , <br /> 1��2, said deed being in t'avor oY Homer L.�e�ieana,grantee.�hat said deed,while rnade in the <br /> narne of J.H.McConnell,Administrator of the Estate M.�.Congdon,deceased,was ia Pact,as <br /> adminlstrator oP the estate of' �onroe M.Congdon,and that the �l.M.Congdon mentioned in said <br /> deed was '�l�e same person whose estate '�his atfiant admini8tered upon in Lineoln County, <br /> Nebraska,under t�e name ot' Monroe M.Congdon,who wae, in his life-time the owner o�' the said <br /> above deacribed property. , <br /> J.H:&RcConnell <br /> Subscribed and sworn to be�ore me on this 17th day oP January,l8g . <br /> � sEAL� Thos H.DaileY , <br /> My commission expires May 1�j1903. 1'lotary Publia <br /> Filed for record this 26 day oP December,19�+5,at 1.1 :30 0'cloek A.Rd. � . � <br /> Reg Bter of Deed <br />