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cJs_9 <br /> I�IISCEI�LAN�OUS RECORD W <br /> " 38289-TH8�U6USTINECO.GRANUISLAND,NEBR. � <br /> AFFIDAV TT. <br /> STATF OF NEBRASKA ) <br /> ss Ervin C; Farnsley and Sarah Farnsley husband and wife, being duly sworn, depose <br />' COUNTY OF Ht�LL ) and say that they and their immediate and remote grantors have owned the following <br />� described real estate under deeds or instruments of conveyance which has been <br /> recorded for a period of twenty two years or longer, said real estate being described as follows: <br /> Lots One (1), Two (2), Three (3), Four (4), Five (5), Six (6), Seven (7), Eight (S), Nine (9) and <br /> Ten (10) in Block Three (3) in East Park Addition to the City of Grand Island, Nebraska. <br /> and we are .now in possession thereof, <br /> Ervin C. Farnsley <br /> Sarah Farnsley <br /> Subscribed and sworn to before me this 9th day of February 1951. <br /> (SEAL) _iohn F. McCarthy <br /> My commission expires July 27-195�' Notary Public. <br /> Filed for record this 10 day of February 1951, at 10:30 ofclock A.M. ������„� <br /> � Register of Deeds <br /> 0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-Q-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 <br /> CERTIFICATE OF DEATH <br /> . <br /> 1 PLACE OF DEATH. Dist. N0. California State Board of Health <br /> County of Orange BUREAU OF VITAL STATISTICS Local Re�istered No. 116 <br /> City of STANDARD CERTIFICATE OF DEATH <br /> Town of Orange (No. 624 South Orange St. ; Ward) <br /> or Rural Regis- <br /> tration District <br /> 2 FULL NAME William Covington Hanger <br /> PERSONAL AND STATISTICAL PARTICULARS <br /> 3 SEX Male <br /> 4 COLOR OR RACE� White <br /> 5 SINGLE, MARRIED, WIDOWED, OR DNORCED Married <br /> Sa If married, widowed, or divorced <br /> HUSBAND of <br /> (or) WIFE of Sadie Grace Han�er <br /> 6 DATE OF BIRTH Map 3 186� <br /> (Month)(Day)(Year) <br /> 7 AGE 65 years 1 months 5 days IF LESS than 1 day, hrs. or min. <br /> 8 OCCUPATION <br /> (a) Trade, profession, or particular kind of work Retired <br /> (b) General nature of industry, business, or establishraent in which employed (or employer) Farmer <br /> (c) Name of employer <br /> 9 BIRTHPLACF <br /> (State o� country <br /> city or �own) Ohio <br /> 10 NAME OF FATHER James Hanger <br /> 11 BIRTHPLACE OF FATHER (city or town) <br /> PAR- (State or country) Ohio <br /> � EN7S 12 MAIDEN NAME OF MOTHER Hannah Miller <br /> 13 BIRTHPLACE OF MOTHER (city or town) <br /> (State of country) Ohio <br /> 1� TI� ABOVE IS TRUE TO TI� BEST OF MY KNOWLEDGE <br /> (Informant) Sadie Grace Hanger <br /> (Address) Orange Calif <br /> 15 Filed 6/10 1929 Paul E. Clark <br /> Registrar or Deputy <br /> MEDICAL CERTIFICATE OF DEATH <br /> 16 DATE OF DEATH June 8 1929 <br /> (Month) (Day)(Year) <br /> 17 I HEREBY CERTIFY, That I attended deceased from Aug 15 1928, to June 8 1929 that I last saw him alive <br /> on June 8 1929 and that death occurred on the date stated above at 1:30 P.M. <br /> THE CAUSE OF DEATH# was as follows; <br /> Carcimoma <br /> Prostate Gland <br /> (Duration) years months days <br /> Contributory <br /> (Duration pears months days <br /> 1 8a LENGTH OF RESIDENCE <br /> At Place of Death�ears months days <br /> (Primary registration district <br /> (If nonresident, give city or town and state) <br /> In California S years months days <br /> How �ong in U.S., if of foreign birth: years months days <br /> 18b Where was disease contracted if not at place of death: <br /> Did an operation precede death: Yes Date of Febry 1928 <br /> Was there an autopsy' No <br /> What test confirmed diagnosis: none <br /> (Signed) Dr. F. L. Chapline M.D. <br /> June 9 1929 (Address) Orange Cal <br /> #State the DISEASE CAUS IlVG DEATH r in <br /> o deaths from VIOLENT CAUSES state 1 MEANS OF IN URY: and <br /> � , � O J <br /> (2) whether robabl ACCIDENTAL SUICIDAL or HOMICIDAL. <br /> � Y <br /> P ) , , <br /> 19 PLACE OF BURIAL QR REMOVAL Fanhaven Cemetery <br /> DATE OF BURIAL June 10 1929 <br /> 20 iTI�DERTAKER C W Caffrey ADDRESS Orange Calif EMBALMER�S LICENSE No. 1552 <br /> STATE OF CALIFORNIA ) <br /> ) ss. I CERTIFY The foregoing to be a full, true and correct copy of the instrument <br /> County of Orange ) recorded in Book No. 10 of Deaths, Page - Records of Orange County, and that I <br /> have carefully compared the same with the original record. <br />� � i <br />