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� �l7 <br /> I�IISCEL�LAN�OUS R�CORD V <br /> h <br /> 2905B-TXRAU00lTIMECO.iRANDIfL11ND,NtlR. � � � - � <br /> AFF'�T�A�IS T <br /> STATE OF I`1E�R��KA ) <br /> ss. AFFI DAVI T <br /> HALL COU�TTY ) � - - � � - "- - - - <br /> A. E. Cady being first duly sworn, on his oath deposes and says <br /> that he s�vas taell ��nd >>Prsond�.11y acqua.inted with one, HERF3ERfi H. GLOVER, the grantee in a <br /> cert�in Warranty Deed recorcled in Book "F" , Page 207, of the records in the office of the <br /> Register of Deeds, Ha.l1 County, i�ebraska, anc? know:= of his otan x�erson�l knowledge tha,t he <br /> is ane and the sarie c�erson a.s H. ��i, rLOVER one of the f rantors in �!Jarr�.nty Deeds recorded <br /> ln :3ook "K° , Pa�es 357, 461 and 172 of the records in the oft'ice of the Register of Deeds, <br /> Ha,l1. �ounty, hlel�aska. <br /> Further Affiant sayeth not. <br /> A. E. Cady <br /> Subscr�.bed and sworn to beforP me this 20th day of �ovember, 1936. <br /> Elga Ortegr�n <br /> (SEAL) Notary Public. <br /> My commissionf�e�:�ires Tq�.rch 16, 1940 <br /> Filed for record the 24 day of ��arch, 19�7 at 3: 30 0 ' clock P.I�-�. �-�j��� � <br /> U� ��� <br /> Register of Deeds �t/ <br /> o-o-o-o-o-c-o- -o-o-o--c-o-o-o-o-o-o-o-r>-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 <br /> AFF'TDAVIT <br /> STATE OF NEBRASKA s <br /> s, s. A F F I D A V I T <br /> C oUT�rTY oF HALL : , � <br /> Ludwi� A.Sondermann,being f3.rs� duly sworn,on oath deposes and says tha.t k�e is a member <br /> o�' the Livingston-Sondermann Funeral Home located 3.n the c3.ty of Grand Zsland,Nebraska; <br /> That on tk�� 2nd da,y oY Jau?uary 1�44,Alma h7at ild.a Schuct�unann died in Grand �sland,Nebraska; <br /> That t'�e firm of' Liv3.n�;s�on-5ondermann Fu.neral Home did prepare '�he body oP Alma l��atilda <br /> Schuchmann for burial and d�.d bury the sa�.d body of Alma �rlatilda Schuchmann in Grand <br /> Ieland Cerletery,located at Grand Island,Nebraslca on �he �th day o�' January,l9�}4. <br /> Further,af�'ian� sayeth not. <br /> Ludwi A.Sonderrnann <br /> Dated at Grand Ialand,Hall Coun'�y,Nebraska tiZis 15th day o arc�i, . <br /> Subscribed and sworn to be�'ore me,a notary public, '�his 15th day of' IMarch,19�7. <br /> (SEAL) James D.Liv�.n�ston <br /> ' Comm3ssion expires Jan.4,19��. Notary Publie <br /> Filed for reeord this 27 day oY March,l9�F7,at �:50 o 'clock p,M. <br /> ���� � <br /> Register o Deeds � <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 /> CERTIFICATE OF DEATH <br /> NEHRASKA (STATE) DEPARTMENT OF HEALTH <br /> Division af Vital �3�a�istics <br /> STANDARD CERTIFICATE OF DEA�'H <br /> . ' DE�ART NENT �F COP�IMERCE State FiI� No. 010819 <br /> BUREAU OF THE CENSUS Social Sec�urity No.-------- <br /> 1. PLACE OF DEATH: <br /> (a) County Hall <br /> (b) City or town Gra rr7. Island, Rural <br /> (c) Nam� of hospi�al or institution ` <br /> (Zf not in hospital or institution,writ� �treet number or location Public Highway <br /> (d) Length of stay : In hospital or insti.tu�Gion <br /> In this community 2� yrs. <br /> 2. USUAL RESIDENCE OF DECEASED: <br /> (a) Stat� Nebr. (b) County Hall <br /> (c) City or town Grand Ssland <br /> (d) Street No. 1912 W. l�t. <br /> (e) If f ore ign born, how lon�; in U.S.A.?-----------Yrs. <br /> 3. �a) FULL NAME Richard Raymond Saathaff <br /> 3. (b) If veteran, naxne war ------------------ <br /> �., se� r�sa.E <br /> 5. Color or race Wh3.te <br /> 6 (a) Sin�le,wi,dowed,married Marri�d <br /> 6 (b) Name of husband or wife Virginia Saathoff <br /> 6 (c) Age of husband or wife, if alive --------yr�. <br /> 7. Bir�Gh da�� of deceased July 4, 191�. <br /> 8. AGE; Years 30, Month� � Days 7 If ].ess than one day --- hr. ------min. <br /> 9. Birthplace Clay Co. Nebr. ' <br /> 1.p. U�ual oc��upa�ion Manager S�ars Roebuck Co. <br /> 11. Industry or business Farm Implemen� Div. , <br /> �'ather I <br /> . 12. Nam� ' �He�'t. ���lt�ioff <br /> 13. Birthplace C1ay Co. Nebr. <br /> Mo�her � <br /> 1�. Maiden na.me Carrie E. Johnson ! <br /> 1�. Hirthplace Clay Co. Nebr. <br /> 16. (a) Tnformant� � own signature Mr�. R.R.SaathoPf <br /> (b) Address Gra�d Tsland, Nebr. <br />�� , <br />