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<br /> 21917—The Auguatine Co., County SupHlies, Grand Island, Nebr.
<br /> AFFI�iAVIT
<br /> IN THE r��.ATT�'R C�F ��'HE �'I'.i�LE )
<br /> �
<br /> TO i A F F I D A V I T
<br /> � - - - - - -. — .
<br /> �3L0CK �IG��:T (�) Ii:1 ':EST VIEr'� )
<br /> AD�ITIO�T TO THE CITY OF GRAND)
<br /> I SLATID, NEBR 4SKA.
<br /> S`�ATE OF I�TEnRASKA)
<br /> ) ss: Peter C. Gimple, bein�; first duly sworn on his oath, deposes
<br /> CO??NTY OF HALL ) and says that he is ��ell and personally acquainted with
<br /> KATHERINE NICHOLS, one of the 'eirs of George Gi�nple, deceased,
<br /> and ��rho is name_d in the Final �ecree entered in the estate of George Gimple, deceasecl.
<br /> Affiant further st�.tes that he is i�rell and persona.11y acq,uainted ��aith TENA NICHOLS, one of
<br /> the �r��ntors in a 1jl��,rranty �eed convsying the above deser�.bed premises, t-rhich deed is
<br /> recordec� in Book 90 at Pa�;_e 30 of the deed rec�rds of Hall County, Nebr�ska, and that the
<br />' said KATHERI�?E TvICHOLS a.nd TENA NICHOLS is one �.nci the saxne person, nott�rithstanc�in� the
<br /> di�'ference in the spellinb of said names.
<br /> And further ?ffi�nt s��yeth not.
<br />� Peter C. Girnple
<br /> Subscribed �nc. st�rorn to befbre me this 7th da.y of August, 1946.
<br /> (SEAL) B. J. Cunningham
<br /> Piy commS:ssion expires the 5 �.^y of August, 19�-7. Notary Public.
<br /> Filed for record tnis �ti1 day of Au�ust, 19�-6, a.t 11: 55 0 ' clock A.A2. �,
<br /> ���
<br /> eg s er of ee s
<br /> -0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-O-d-O-O-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-
<br /> AFFIDAVI'� Ai�1�� CERTIFICATE:
<br /> S�AT� CF ���FBRASI:A)
<br /> ) iS AFFIDAVIT � �
<br /> COU�?TY OF I:ALL )
<br /> I, A. �. Boehm, bein�; first duly sti,rorn, on my oath depose and
<br /> sa,y that I ��.rn a rAsident of Gr.:;nd Islar�cz, Hall County, Nebrask�,, ancl have been such for
<br /> :nore then zortJ ye�,rs l�st p�st; that I �m aersonally �re11 acqua.inted witn Fr4 ctional
<br /> Lot Four (�+) in Fractional Bloc'� Seventeen (17) in Ch�rles Z^Jesmer's Adc�ition to the City
<br /> of Gra.nci Islanc;., Ne'�r�ska, W�,smer� s Annex to First Ac�dition, a�nd 'r1'asmer � s Third A��.clition,
<br /> anc� its cornplemen�, to-ttirit: Fr�,etional Lot Four (�) in Fractional Bloci� Ten (10) in
<br /> "�.'ood'r�ine A?c13.tion to the City of Grand Island, Nebrask�,, anc"� have personally known said
<br /> ni�emises �'or more than forty years l�st past; that on March 27, 1939, as agent for the
<br /> oT�mer I ne,�otiatec�. �he sa�e of �he above-described premises to Roy '1. Johnson and Gertrude
<br />� Johnson as �join� �enants anct not as tenants in conrnon and they took �itle as such to said
<br /> premises by �prarranty c�.eed recorded in Book 79 at pGge �-60 0� the deed records of Hall
<br /> County, Nebras�ia; t��at s�i:� Roy '�T. Jonnson, one oi' �he ,joint tena.nts named in said war-
<br /> �anty c�eec?, c�i ed on �dovember 20, 1Q4�, at Kno�.ville in I2�.rion County, Io��r�., and that the
<br /> certifiec� copy o��' certificate of �e�th c��,ted Al�gust 5, 19�6, issued by the Iowa State
<br /> DepartmPnt of Hea1�h, ryDivision of Vital St�tistics, hereto at��,ched and made a part here-
<br /> � i ft
<br /> of, refers to �,he saic� �oy �:T. J�hnson, one of sa.id ,joint tenants hereinbef'ore mentioned,
<br /> �.nc� that the other 'olnt tenant named in saic� jr�Nran� deed above-d s b d
<br /> J Y e cri e , was the
<br /> �Tife oi s�.ic? Roy 'T. Johnsor. �.nc� is noU* his ti�aidow.
<br />� Further a.f�i�nt sai�h not.
<br /> , A. �. Bo ehm
<br /> ��abscribec� ir� i,1;� presence ��nt sworn �o 'r�efore me this �tki day of Au�rust, 19�-6.
<br /> Herbert F. I�Iayer
<br /> I�.y comrnission e:�pires I�iay 17, 1950. (SEAL) ''� �?otary Public.
<br /> IO�uA ."�TATE DEPART��Ei1T OF HrALTH
<br /> Division of Vital Statistics �t�tA Office Nos.
<br /> Bure�,u_ 301 Certificate of Death 63 # 251
<br /> .
<br /> l. PLAC� OF uEATH:
<br /> (a) C.nunty. . . "I�rion ToT=mship. . . Knoxville
<br /> (b� City or �'o��Tn. . .Ynoxville
<br /> (If out�ide ci�y or to�m ��rrite Rur�l Ne�.r ��nc? �ive tot�m)
<br /> (c) �:ospital or Instit�a.tion: Nanie ^.nd `�tre2t Acxc.ress
<br /> Ve�erans Ar�minist.ration �
<br /> Le,z�;�h o�' s ua.y:
<br /> Tn has1��-t��.� or institution. . . . .2 yrs. 2 mon. 23 days
<br /> In thi� community. . . . . . . . . . . . . .� �rs. 2 r�on. 23 days
<br /> 2. USUAL ��'SI�^:��'CE (�iOP��E) 0 D�C�SET7: (I'or r}e4,l�orn infant give resi t nce of r�other)
<br /> . �a) Sta�e. . isebraska . (b� ,Gounty. . .York . (c) City or town. . . �'ork �(�f' outside city or
<br /> Toti�rn lir.iits ti�rrite .Rur�;l Nea.r anc� �ive town) . (d) Street No.---(If rural �;ive lccation}
<br /> ( e) Of foreibn born ho�-� Ton� in U, S.A. -----ye�.rs. (f) �it3,z�n of fQreign county. . .Yrs �r, no)
<br /> �. (a} F'vZL IJAI�IE� . .F.oy S�J. Johnsor� C-1, 990, 9�7 �T�' yx°s. name of country) .
<br /> Pvt.l./c lst M.T. C.
<br /> (b) IF VETrRAN, NAP�fE y�JAR: �,�dorld `�iar I
<br /> �. SEX. .M 5. COLOR OR RACE. . . W F. (a) SIY�GLE, P��ARRIED, roTIDO�'TEL OR LIVORCED. . . .M
<br /> (b) N�me of husb�.nc� or t��ife. , .Gertrt�de Johnson
<br /> (c) If ��,live �ive age - - - -�ea,rs.
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