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<br /> I�IISC�LLANEOUS �.ECORD V
<br />,
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<br /> �TATE OF Nebraska )
<br /> ) ss. On this 2nd day of Decernber, A.D., 1950, before me, the undersigned B. F. Douthit
<br /> Hall County ) a Notary Public, duly c rnmnissioned and qualified for and residing in said countp,
<br /> personally came Don W. Lloyd and Maxine F. Llopd and Orville F. Macomber to me
<br /> ' known to be the identical persons whose names are affixed to the foregoing insrtwn�nt and acknowledged the
<br /> same to be their voluntary act and deed.
<br /> Witness my hand and Notarial Seal the day and year last above written.
<br /> (SEAL) B. F. Douthit
<br /> My Conanission expires the 30th day of Oct., 1952 No�a ublic
<br /> Filed for record this 2? day of December, A.D. 1950 at 2;30 otclock P.M. e�gl ter o e s
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<br /> AFF_IDAVIT
<br /> STATE OF NEBRASKA, )
<br /> ) Grover C. Raven, of Cairo, Nebraska, being first duly sworn, says: I am the
<br /> C011NTY OF HALL. ) ss. person who made the affidavit regarding Lots 4, 5, 6, and ?, in Block 1, in
<br /> Third Addition to Cairo in Hall County, Nebraska, as filed in Book nUt', page 599,
<br /> of records of Register of Deeds in such countp.
<br /> It was inadvertentlp and erroneously stated by me in such affidavit that Mary Hadenfeldt, wife of Claus
<br /> Hadenfeldt, was given a life estate in such real property by the will of Claus Hadenfeldt, deceased.
<br /> 1 made such affidavit to establish of record in the office of such Register of Deeds the fact of the
<br /> death prior to April 12, 2946, of Mary Hadenfeldt, the widow of Claus Hadenfeldt, and the person who as
<br /> grantor in warranty deed recorded in Book 82 on page 421 reserved a life estate in such real property. Such
<br /> Mary Hadenfeldt at all times subsequent to the death of Claus Hadenfeldt, and particularly on December 3, 1942,
<br /> claimed to own in fee simple such Lots Four (4), �ive (5), Six (6} and Seven (7) in Block One (1) in Third
<br /> Addition to Cairo.
<br /> Alfred Sorensen and Mary M. 5orensen, the owners of record of the north thirty-six feet of Lot Five (5)
<br /> and all of Lot Four (4) in Block One (1) in Third Addition to Cairo, in Hall Countp, State of Nebraska, are
<br /> personally known to me and are now in possession thereof.
<br /> Grover C. Raven
<br /> Subscribed in my presence and sworn to before me on this 30 dap of Dec, 1950.
<br /> (SEAL) W. E. Sorensen
<br /> My com�nission expires July 20, 1955 Notary Public.
<br /> ; `
<br /> Filed for record this 2 day of January 1951, at 8:30 o�clock A.M. � �-�f��.«
<br /> Regi er of De ds
<br /> � �
<br /> � �
<br /> Deputy
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<br /> C�RTI�'ICATE OF DEATH` • ;,� , <
<br /> District No 1904 Registrar�s No 1013
<br /> 1. FULL NAME Lane, Nettie A.
<br /> 2. PLACE OF DEATH: (A) COUNTY Los Angeles (B) Pasadena (C) NAME 0�4�gS����O�t���ITUTION
<br /> . . (D) LENGTH OF STAY: IN HOSP3'1'A�.' 11R INSTIT�'1'ION __..
<br /> ` -- Il!1 THIS;C�MMUNITY 21 pears IN IA 21 years
<br /> 3. USUAL. RESIDENCE.OF D�CEAS�'D (A)'�STATE C3�,3fornia (B)����s�Angeles (C) City or Tawn Pasadena
<br /> (D) Street No 1415 Paloma. Street
<br /> 3. (E) IF V�TERAN, NAME OF WAR No 3. (F) SOCIAL SECURITY NO No
<br /> 4. SEX Female
<br /> 5. COLOR OR RACE White
<br /> 6 (A) SIIVGLE, MARRIED, WIDOWED OR DIVORCED Married
<br /> 6 (B) NAME OF HUSBAND OR WIFE Eldoras Lac►e (C) AfxT Q�` HUSBAND OR WIFE IF ALIVE
<br /> 91 YEARS
<br /> ?. BIRTHDATE OF DECEASED November 18 1859
<br /> S. AGE 83 YRS � Mos 22 DAYS
<br /> 9. BIRTHPLACE Scneca, Illinois
<br /> 10. USUAL OCCUPATION Housewife
<br /> 11. INDUSTRY OR BUSINESS Own Home
<br /> FATHER
<br /> 12. NAME •'�Ezra Deveraux
<br /> �����IRTHPLACE Syracuse, New York
<br /> 14. MAIDEN NAME Olive Tuttle
<br /> 15. BIRTHPLACE New Haven, Connecticut
<br /> 16. fA) INFORMANT Eldoras Lane (B) 1415 Paloma Street- Pasadena
<br /> 17. (A) BURIAL, CREMATION OR REMOVAL Temporarily Held (B) DATE 12-15-1942
<br /> (C) PLACE Ives and Warren oault
<br /> 18. (A) EMBALMER�S SIGNATURE B. Willis Weekes LICENSE NO 2399
<br /> (C) FUNERAL DIRECTOR Ives and Warren Company ADDRESS 100 North Hill Avenue- Pasadena
<br /> BY F. J. Ives
<br /> 19. (A) DEC. 15 1942 (B) CHAS. W. ARTHUR
<br /> Date Filed REGISTRARtS SIGNATURE L.M.
<br /> 20. 'D,A.�'� OF DEA'�I�,.; MONTH Aecember Day 10 YEAR 1942 HOUR 9 MINUTE 30 PM.
<br /> ��, MEDICAL CERTIFICATE � � � �
<br /> IMMEDIATE CAUSE OF DEATH General arteriosclerosis
<br /> 23. IFRDEATHSWA�S'�DUEITOTEXTFn.R�NAL��A USF.�5,�FILL�I�N THE FOL OW�INGe�c'�me4�o� °�a� on�t���above���c�
<br /> (A) ACCIDENT, SUICIDE, (B)�,' DATE OF INJURY (C) WHERE DID INJURY OCCUR
<br /> (D) DID INJURY OCCUR IN OR ABOUT HOME, .OI� FARM, IN INDUSTRIAL PLACE, OR IN PUBLIC PLACE.
<br /> (E) MEANS OF INJURY
<br /> 24. Frank A. Nance, Coroner By W. A. Macdonald, Deputy
<br /> ADDRESS Los Angeles, California DATE 12-11-1942
<br /> STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH CERTIFICATE OF DEATH
<br /> (SEAL)
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