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_ _ _ � <br /> .. � - <br />', ��� <br /> I�IISC�LI�ANEOUS RECORD V <br /> _ 290D6�TNCI1YBOfTIN6CO.GRAND�fLAN0,N68N. � . � <br /> 8. AGE 82 yrs. 0 mos. 9 days iF LESS THAN ONE DAY OLD HrB. Min. <br /> �, BIfiT�IP.LACE Winterset Iowa r <br /> 10 . USUAL OCCUPATION Housewife <br /> 11 . INDUSTRY OR BUSINESS own home <br />�= FATHER Z2. NAME Dee Harrell -. �� �`� ' <br />' 13. BIRTHPLACE unknown ' <br /> MOTHER 1�. MAIDEN NAME ('iJnk. ) Daniele <br /> 15. BIRTHPLACE Unknown <br /> 16. (A) INFORMANT Lee Ernest VanBuskirk <br /> (B) ADDRESS 6ll No. Mayo St. Compton ! <br /> 17. (A) REMOVAL (B) DATE Mar. q, 1948. <br /> Burial,cremation or removal � <br /> (C) PLACE Doniphan Cemetery, Doniphan, Neb. <br /> 18. (A) Embalmer' s Signature Samuel L. Croninger LICEiJSE N0. 2�27 <br /> (B) FUNERAL DIRECTOR Utter-MeKinley-Hann <br /> ADDRESS 1301 E.Pa�mer Ave. Comp�on <br /> By J T Winstead ' <br /> 19. (A) Date Filed Mar. 1�, 19�8 <br /> (B) R.oy �.. Gil'b�rt,M.D. <br /> Registrar' s �nature <br /> Sy Loretta Co�ral <br /> 20. DATE OF DEATH: Month March DAY 3 YEAR 19�8 HOUR � MINUTE 20 AM <br /> 21. MEDICAL C ERTIFICATE <br /> I HEREBY CERTIFY THAT I ATTENDED THE DECEASED, FROM 5-24� 3946 to 3-3-�$ <br /> THAT I LAST SAW HER ALIVE ON 3_2-1�8 AND THAT DEATH OCCURRED ON THE DATE "`' <br /> AND HOUR SZ'ATED ABOVE. <br /> IMMEDIATE CAUSE OF DEATH Cerebral �hromboais DURATION <br /> DUE TO Arteriosclerosis 2� hrs <br /> General unknown <br /> DUE �.'0 ------- <br /> �THER CONDITION Chr. nephrosts unknown <br /> (include pregnancy within three months of death) <br /> MAFTOR FINDINGS PHYSICIAN � <br /> OF OPERATIONS UNDERLINE THE CAUSE <br /> DATE OF OPERATION TO �°�HICH DEATH SHOULD <br /> OF AUTOPSY None BE CHANGED <br /> - STATISTICALLY <br /> 22. CORONER�S CERTIFICATE <br /> I HEREBY CERTIFY, THAT I HELD AN AUTOP3Y, INQUEST OR INVESTIGATION ON THE REMAINS <br /> OF THE DECEASED AND FIND FROM SUCH ACTION THAT DECEASED C.AME TO H-- DEATH ON THE <br /> DATE AND HOUR STATED A BOVE. <br /> 23. IF DEATH WAS DUE TO EXTERNAL CAUSES, FILL IN THE FOLLOWING: <br /> �A ACCIDENT, SUICIDE, OR HOMICIDE--------- <br /> B� DATE OF INJURY <br /> (C) WHERE DID INJURY OCCUR? CITY OR TOT��TN COUNTY STATE <br /> (D} DID INJURY OCCUR IN OR ABOUT HOME, ON FARM, IN INDUSTRIAL PLACE, OR IN PUBLIC <br /> PLACE? WHILE AT WORK? <br /> (E) MEANS �F IN�URY------- <br /> 2�. PHYSICIAN'S SIGNI�TURE F1oyd E. Neff M.D. <br /> Address Compton, Ca1.if. Date 3-�-�8 <br /> STATE OF CALIFORNIA <br /> DEPARTI�IENT OF PUBLIC HEALTH CERTIFICATE OF DEATH FL�DERAL SECURITY AGENCY <br /> U.S.PUBLIC HEALTH SERVICE <br /> LOS ANGELES COUNTY HEAL�H DEPARTMENT <br /> DIVISION OF VITAL RECORDS <br /> CERTIFICATION <br /> No. �71�63 <br />� � � <br /> This is to certify that the attached is a full, true and correct copy of the Certificat�,. ; <br /> of DEATIi of FLORENCE VANBUSKIRK whieh is on file in this office and of which I am legal �`� <br /> custodian. <br /> In testimony whereof, I have hereunto set my hand and affixed my sea.l of office this <br /> 5th day of March, 1948. <br /> (BEAL) ROY O.GILBERT,M.D. County Health Officer <br /> ' and Regiatrar of Vi�a1 Statistics <br /> By Loretta Corral <br /> Deputy Registrar of Vital <br /> Statistic <br /> Filed for record thia lOth day of March, 19�8, at 2 :30 o� clock P.M. �j/-���-� � <br /> Vl �.� <br />� �e�iater of De� <br /> AGREE�tE�TT�-0-�-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-Q-0- <br /> This agreement made a.nd entered into this lOth d�,y of March, 1g4�, between Gus <br /> Ez'ic'_�sen �nd Annie M. E�icksen, his T�rife, of Cairo, Hall County, Nebrask� , p�rties of the <br /> first ��art, �nd John E. Rounds and E11a M. Rounds, his wife, each individually, and as <br /> spouse of the other, na.rties of the second p�.rt, TrJitnesseth: <br /> ��Ihereas, Gus Ericksen is the owner of Lot Seven ( 7) an d Lot Eight (�) , in Block Ten (10) <br /> Original ToT�m of Cairo, Hall County, Nebraska, and, <br /> Whereas, John E. Rounds and E11a M. Rounds have agreed to nurchase Lot Eight (�) , <br /> Block Ten (10) , Origina,l Town of Cairo, Nebraska, of tnp said Gus Ericksen and raish to erect <br /> • thereon a brick building, and, <br />� <br /> v�lhereas, there is noir� located u��on Lot Seven ( 7), Block Ten (10) , Original Town of <br /> Cairo, Nebraska, �, building owned by the sa.id Gus Ericksen, and, ' <br />