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<br /> I�IISC�LLANEOUS RECORD V
<br /> 28056-THt AYCtlfTINE C0.6RAN0 ISLIIND,M[BII. � �
<br /> MEDICAL CERTIFICATION
<br /> 20. D�.te of death: Month November day 19, 1944 thi.rd hour 15 min A.M. �
<br /> 21. I hereby certiPy that I a.ttended the deceased from November 15, 19�4 to November 1�, 1944
<br /> that I last say him alive on November l�, 1944: and that death occured on the date and hour stated
<br /> above . Immediate cause of death cerebral hemorrhage Duration 6 hrs.
<br />' Due to ArteriosQlerosis and chronic myocarditis Due to. . . . . . . . . . . . .
<br /> Other conditions nine
<br /> Ma,j or f inds: Of operations none
<br /> Of auto s no �
<br /> �� . — f deat i,ras due ta external causes, il� in t e ollowing:
<br /> (a) Accident, suicide, or homicide ( specify) (No�
<br /> (b) Date of occurence. . . . . . . . . . . . . . . . . . . . .
<br /> ( c) 4Jh.ere did in,jury occi�r. . . . . . . . . . . . . . . .
<br /> (d) Did in,jury occur in or about home, on Parm, in industrial place, in public place. . . . . . . .
<br /> While at work. . . . . . . . (e) Means of in,jury. . . . . . . . . . . . .
<br /> � 23. Signature C. E. Mikel 0. D.
<br /> Address Grand Island, Nebr Da.te signed Nove. 19, 1944.
<br /> 25. I hereby certif y I personally embalmed tne body of the deceased named hereon. W. G. Geddes
<br /> License No. �:315
<br /> THIS CERTIFIES TNE ABOVE TO BE A TR'_'E COPY OF AN ORIGINAL CERTIFICATE ON FILE Yn1ITH THE STATE
<br /> DEPARTr'�EI�IT OF HEALTH, B?JREAU CF VITAL STATISTICS, `aTr�IC:ri IS Ti:E LEGAL DEPOSITORY FOR VITAL F.ECORDS.
<br /> ( SEAL) ti�l. S. Petty, M. D.
<br /> Director of Health and State, Re istrar
<br /> Lincoln, Nebraska Apr. 12, 19��.
<br /> Filed for record the 15 day oP April, 19�+� at 3:li5 o ' clock P.M. �-��
<br /> � ��egis�er of ee s.
<br /> c�-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-o-o-o-o-o
<br /> AFFIDAVIT "
<br /> IN T�-IE MATTER OF THE TITLE TO LOT T�TO (2) IN BLOCK FORTY-SEVEN (1�7)
<br /> nF RUSSEL T�THEELER' S ADDITION TO THE CITY OF GRAND ISLAND, NEBRASKA. .
<br /> STATE OF NEBRASKA
<br /> COUNTY OF� HALL �$g' •AFFIDAVIT
<br /> Howard J. Sm�.th, bein� first duiy sworn upon his oath, deposes and says that he is
<br /> acquainted ��ith Julia M. Smith, t•rho purchased tne ai�ove descri�ed premises under warranty - _
<br /> deed rec�rded in Book 51. at Page 29�4 of the deed record of Hall C�unty, Nebraska; that he
<br /> is acquainted with Julia McReynolds ���hose estate i�r�.s �;robated and the fin�,l decree recorded
<br /> in Book Four (�� �.t Page 6g6 of the records in the office of the Register of Deeds, Hall
<br /> County, Nebraska., and that the said Julia M. Smith and Julia MeReynolds is one and the
<br /> sar�e peraon.
<br /> And further aff iar.t sayet�l not.
<br /> Ho�•�rard J. Smith
<br /> Subscribed in my �resence and st�rorn to before me this 4�th da� of August, 1932•
<br /> (SEAL) B. J. Cunnin�ham
<br /> My comrnission e�ires August 5, Z935 •
<br /> Notary Public
<br /> Filed for record this 15th day of April, 1948, at 3 :�;-5 0� clock P.P�. ������
<br /> Register of Deeds
<br /> 0-0-�-0-0-0-0-0-0-0-0-G-0-0-0-Q-0-0-0-d-0-0-0-0-C�-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0
<br /> AFFIDAVIT h
<br /> STATE OF NEBRASKA) C. E. Grundy, being first duly sworn, says: I am personally
<br /> ss. acquainted T,�ith Mar�a.ret K. Schwaderer, who is the gra,ntee in
<br /> COU?�TTY OF HALL ) the deed da.ted June 7, 1947 as recorded in Book 91 on Page 353
<br /> of the deed records of H�,11 County, Nebraska, wherein Lot Fourteen
<br /> (l�-) , Block Five � 5) , in Boggs & Hill � s Additior. to the city of Grand Isl�.nd, Nebraska, is
<br /> conveyed to su ch grantee.
<br /> I kn.ow of my o?��n knowledge that such M�rgaret K. Schwaderer is on this date in
<br /> �ossession of such real property by meana of the occupanc� thereof by Robert C. Davis whom
<br /> I know �o b� the tenant of such M�,rgaret K. Schwaderer.
<br /> C. E. Grundy
<br /> Subscribed in m,y nresence and swor n to before me on this 16tn day of April, 1.94�.
<br /> Florence V. 2�Iyera
<br /> ( SEAL) Notary Public.
<br /> 1�Iy commission expires Aug. 27, 1Q�-9 �-t--����
<br /> Fi7_ed for reeord the l� �ay of April, 194� �,t 4: 3C o 'clock P.M. �`�
<br /> eg ster of-�
<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-o-o-
<br /> AFFIDAVIT h
<br /> STATE OF NEBRASKA) Robert C. D�,vis, being first duly sworn, says t
<br /> ss. I reside u�on Lot Fourteen (14) , Block Fiv e � 5) , in. Boggs and Hill' s
<br /> HALL COUT?TY ) Addition to the cit� of Gr�nd Isl�nd, Nebraska, as tenant of and
<br /> lessee from Marga.ret K. Schwa.derer, who is grantee in t'c�e conveyance
<br /> oP such premises da.tecl A�ril 7, 19�+7, and recorded in Book 91 on page 353 oP deed records
<br /> of Hall County, Nebraska.
<br /> Sueh P�Iargaret K. Schwaderer is in possession on this d.a.te of such real prop�rty through
<br /> me as the tenant and lessee of such Margaret K. Schwaclerer.
<br /> Robert C. Davis
<br /> Subscribed in my presence and sworn to before me on this 15th day of April, 194�
<br /> C. E. Grundy
<br /> (SEAL) Notary Public.
<br /> Filed for record the 16 da.y of April, 194� at 4:30 o ' clock P.M. *�._ -��,�`!�
<br /> egister o���.
<br />
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