|
. �.
<br /> ���
<br /> �� �`����� 1`�1 �� �J � ��� ��� �J .
<br /> 21817—The Auguatine Co., County 8upplies, Grand Island, Nebr.
<br /> AFFIDAVTT
<br /> STATE OF NE3RASKA )
<br /> )ss Be it known that on tl�is l�tn day of A.pri1,1946,appears Ralph. .
<br /> COUNTY OF H1�.LL ) Judy wllo deposes and makes af�'idavit to tlie �ollowing Pacts;
<br /> 1 Tizat he is the son of Emma Judy,deceased,and that said Emrna JudSr
<br /> died on July 27,19�3. _
<br /> TE�.at tl�e said Emraa Judy is tlle same person who vras- grantor of a warranty deed dated
<br /> October 2�,1933,and recorded in Boolz 73,Pa�e 317,of the records of Hall County,Nebrasl�a,
<br /> . in w�iick� said Emma Judy deeded an undivlded one-third interest in and to tlie Soutlz Half
<br /> ( Sz) of Section Eleven (11� ,Township Twelve (12) ,Ran�e Twelve (1�) ,West o�' tlle 6th P.M. ,
<br /> wherein she as �rantor reserved during l�er li£etime tile incone �'rom the a�'oresaid
<br /> described premises. _
<br /> Further af'�iant saith not. rtalph C.Judy
<br /> Subscribed and sworn to be�ore me the undersigned,a Notary Public, in and for Ha11 Coun�y,
<br /> tEzis I�th day of Apri1,19�6.
<br /> (SEAL) F.J.Clear.�
<br /> Cor�unission expires Oet.22,1951. Notary Pu-`blic
<br /> Filed for record this 1� day of April,19�6,at 3;�+5 o �clock P.P:�. ` (J�
<br /> \
<br /> _ Reg ster o� 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 /> TN THE P�IATTER OF THE TITLE TO )
<br /> LOTS T�G-iREE AND FOUR (3 AND �) ) A F F I D A V I T
<br /> in block fifteen (15) IN THE ) r � '
<br /> TOt�JN OF CAIRO, HALL COUNTY, )
<br /> NEBRA�KA. )
<br /> 3TATE OF NEBRASKA )
<br /> QOUNTY��7� HALV " '- ) $s LLoyd W.Ke11y, being first duly sworn on his oath, deposes and says
<br /> '�hat �e was acquaint�d w3.�h the heirs-at-law of Henry S. Balcom, deceased, and with the heirs-
<br /> a'�-law of Willia.rn F.Balcom, deceased, who inherited certain interests in the above described
<br /> property and who are described in the probate proceedin�s of the above described estates
<br /> and i�rho were parties to the partitioning in which the above premises were partitioned in
<br /> Case No. 102�. -
<br /> Affiant further states tha.t Elizabeth Rumsey named in said proceedin�s is the same person
<br /> as Lizzie Rumsey, for whom a petit3.on was filed for the appointment of guardian in the County
<br /> Gourt of Hal1 County, Nebraska; that Lucy E.Hodgson and Lucy Hodgson na.med in said proceed-
<br /> ings is one and the same person, notwithstand�n� the discrepancy in the spe�ling of the names
<br /> of the above named persons.
<br /> And furthPr affiant sayeth not. Lloyd W.Kelly
<br /> Subscribed �,nd sworn to before me this 16 day of April, �.g46
<br /> Dolores L.Mettenbrink
<br /> ( SEAL) otary Pu lic
<br /> My commission expires the 26 da.y of �ctober, 1�51
<br /> Filed for record tris 1� � d�y o� Ap�il, �9�6, at 11:00 o ' clock A.M. "�
<br /> �����
<br /> Regi s t er o]'�ds
<br /> �--��-0-0'-0-0-0-0-0-0-0-'%-O-C)-0-0-Ci-0-�-0-0-�-0-0-0-0-0-0-0-0-�-0-0-��-�-�-�-�-�-0-�-0-0-0-0-0-�-
<br /> CERTIFICATE OF DEATH
<br /> . NEBRASKA (sTATE) DEPARTMENT OF HEALTH
<br /> Diviaion of Vital Statistics
<br /> SEPARTMFNT OF COMMERCE M �2�5
<br /> BUREAU OF THE CENSUS Social Security No. ------- State File No. . . . . . . . . .
<br /> l. Place of Death
<br /> (a) County Adams
<br /> (b) City or �oUm Hastin�s
<br /> ( c) Name of h�spital or institu�ion
<br /> 114 University St.
<br /> f not .in hQSpital or institution write street num�er o� lo�ation
<br /> (d) Z,ength of stay: In hospital or institution ------
<br /> In thi� �ommunity two years
<br /> 2. USUAL RESIDENCE OF DECEASED:
<br /> (a� Stat e Nebraska (b) CQUnty Adams
<br /> (�c� City or town Hastings
<br /> (d) 3treet No. 114 University St.
<br /> ( e) If foreign born, now long in U. S.A. 59 y:e�x's
<br /> 3 FUI�L NAriE Martha Maria Siebert _
<br /> .
<br /> 3 (b) If veteran name war.
<br /> 4. Sex Female
<br /> , 5. Color or r�.ce White .
<br /> 6 (�) single, widowed, married, divorced Mar.
<br /> � r Rudo1 h Otto Siebert
<br /> h sb nd � wife
<br /> 6 b Name of u a �
<br /> �
<br /> )
<br /> v rs.
<br /> b nd r w3.fe if ali e
<br /> 6 ( c) Age of hus a o , 77 Y
<br /> 7. Birth date of deceased Mar. 22, 1�65
<br /> �. Age Years �6,P�tonths � Days 10 If less than one day ---hr ----min.
<br /> 9. Birthplace Saxony, Germany
<br /> 10. Usua1 occupation Housewife
<br /> l�l. Industry or business Home.
<br /> 12. FATHER Name Carl Moritz
<br /> 1j. irthpla�ce No Record Germany
<br /> 14. MOTHER� .Maiden name Marie Sta,hlhut
<br /> l�j. ir� thplace No Record Germany
<br /> 16. �a) Informant� s oT�m signature R.O. Siebert
<br /> (b) Address Hastings, Nebra.ska.
<br /> 17. (a) Remov�,l (b) Date thereof 9�2�Li-1
<br /> Buri� , cremation or removal)
<br />
|