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<br /> I�IISC�I�I�ANEOUS RECORD V
<br /> 29058-TN[AYCUfTINECO.CP11NG1lLAND.N6lR. ' � ��� � �
<br /> MEDTCAL CERTIFICATION
<br /> 20. Date of deaths Mon�Gh July day 34 �9�5,3 hour, 30 minutes A. M.
<br /> 21. I hereby certify that I attended the deceased from July 25, 19�5 to July 30, 19�5
<br /> and I �aa'� ; eaw her a3.ive on July 29, 1945, and that death oceurred on the date and
<br /> hour stated above.
<br /> Dur�t irin
<br /> Immediate cause og death Acute Pyelonephritis 8 days
<br /> Due �o Aeu�e Pyelonephritis 2 yrs
<br /> Due �o - - - - -
<br /> Other condiditons - - - - -
<br /> Ma�or findings;
<br /> Of operations No.ne
<br /> Of au�opsy None
<br /> 22. If death was due to external causes, f ill in �he following:
<br /> 4a Aacident, suicide, or �iomicide ( specify) -
<br /> (b� Date of occurrance
<br /> (c) Where did 1n,�ury occur?
<br /> (d) Did in,�ury occur in or a�out home, on farm, in 3.ndustrial place, in publie place4
<br /> Wh11e at workY
<br /> ( e) Means of in�ury
<br /> 23. Signature W. J. Arra srnith M. D.
<br /> Address Gr�and Island llate eigned 7-31
<br /> 25. I hereby cerify I personally embalmed the boby of the deceased named here�n.
<br /> Minar B. Steele Licenee No. 1941
<br /> THIS CERTIFIES THE ABOVE TO BE A TRUE COPY OF AN ORIGINAL CERTIFICATE ON FILE t�iITx THE
<br /> STATE DEPARTMENT OF HEALTH, HUREAU OF VITAL S�ATISTICS, �THTCH IS THE LEGAL DEPOSITORY FOR
<br /> VSTAL RECORDS.
<br /> W. 8. PettY_. M. D.
<br /> (SEAL) Director of Health and State Re�istrar
<br /> � Lincoln, Nebraska.
<br /> STATE OF NEBRASKA )
<br /> ) ss. 1� F F I D A V I T
<br /> COT7NTY OF HALL )
<br /> B. J. Dingwerth, being f irst duly awt�r:n, deposes and says that he was well acquainted
<br /> with the Anna G. Steinbaoh, widotiv of John B. Steinbach, to whom was bequeathed the South
<br /> Half of the South Half (S2 S2) Section Twenty-Three (23) Township Twelve (12) North, Range
<br /> Ten (10) , Hall County, Nebraska, a.nd other pro�erty, in the w3.11 of John B. 3teinbaeh,
<br /> recorded in Book � Page 606 of Wills and Deerees in the office of the Register of Deeds
<br /> of Hall County, Nebraska.
<br /> And Affl�.nt further s�.�s that the said Anna G. Steinbaeh, na.med in the Wi11 of John
<br /> B. Steinbach, recorded in Book �, Pa,ge 606 of Wills and Decrees in the Off ice of the
<br /> Register of Deeds of Hall County, Nebraska, di.ed July 30 194�5 and is one and the sa.me
<br /> person as the Anna G. Steinbach named ln �the attached Cert3.f icate of Death.
<br /> B. J. Din�rerth
<br /> Subacribed in my presenee and s���orn to before me this 21st day of Febr. 19�7•
<br /> F. Vivian Roark
<br /> (SEAL) Notary Public
<br /> My Commission Expires March 17, 1951.
<br /> Fi7.ed for record this 2l' day of February 1Q�7 at 10:00 o� clock A.M. ��,-����
<br /> - Register of 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-a-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-o-
<br /> REIUTAL �SSIGN�iENT
<br /> In consideration of the Nebraska Loar. & Trust Company, Gr�.nd Island, Nebraska, making
<br /> a. loan to me/us, the undersigned, in the sum of �60000.00, which is to b e secured by a
<br /> Firs�t Mortgage on the �ollot�rin; described real estate:
<br /> Lot Seven (7), in Block Sixty-three (63) , Ori�inal Town, , natti� City of Grand Island,
<br /> Nebraska.
<br /> aa�d Por the �urpose of furt�ier securing said lo�n s�re hereby sell, assign and transfer unto
<br /> the Nebraska Loan & Trust Company all rents or rentals �.nd income to be due or received
<br /> from 'said property and hereby agree that in ca.se of default of the payment of any taxes
<br /> when the sa,me shall become delinquent, or in tne case of default of the payment of any W ,
<br /> interest on said mortgage, or in the default in tile p�.yment of any insurance when due, or �
<br /> upon the ��ayment o� the principal of s�.id mortg�ge ��.�hen the same snall become due, then
<br /> and in �ny of the said events, the idebraska Loan & Trust Company is hereby authorized and �
<br /> empo�aered to collect all rents Prom said property ��nd to apply the same to the payment of
<br /> the ta.xes, the interest, insurance or principal which may be in default and this assignment �
<br /> shall constitute sufficient autho�ity for said Nebra.ska Loa,n & Trust Company to collect a
<br /> and ap��ly said ren'�s as above set forth and the undersigned f>>rther eonsents, in case oP �
<br /> dePault, to the imrnediate appointment of a receiver upon ap��lication to the court having
<br /> ,jurisdiction for tn.e purpose of collection of said rentals as above set �orth.
<br /> This assignment shall be irrevocable until said mort62ge and alI delinquent taxes,
<br /> interest and insurance premiums ha.ve been pa.id in �.ccordanee with the terms of the
<br /> Mortga�e to be executed by us on the �bove property.
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<br /> J
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