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1vIISCELLANEOUS RECORD W
<br /> � ��"}
<br /> 39283�THEAUGIlSTINELO.GR11N015LAND.flEBR. . � . . .
<br /> The principal cause of death and related causes of importance in order of onset were as follows :
<br /> Diab�tis mel Date of onset 1925
<br /> Contributory ca.uses of importance not rela�ted to principal cause:---------------------------
<br /> �Iame of operation-----------Date of----------
<br /> What test confirmed diagnosis;---------- Was there an autopsy? I�'o
<br /> 23. If death was due to external causes (vialence) fill in also the f ollowing; Accident, suicide, or
<br /> homicide:------------ Date of In,7ury------------19------ Where did in ur occur -----
<br /> J Y .-----
<br /> Specify whe�her injury occurred in industry, in home, or in public place. Manner of injury-------------
<br /> I�ature of injury----------------
<br /> 24. �Jas disease or injury in any way related to occupation of deceased? No If so, specify-------
<br /> 1. D
<br /> ` (Signed) M. R, Pierso�: . �Ac�dress) Cairo, hebr.
<br /> THIS CTRTIFIFS THF ABOVE TO BF A TRUF COPY OF AAT ORZGINAL CERTIFICATE ON FILF T�TTH THE STATE DFPARTMENT
<br /> � OF HFALTH BU�FALT OF VIT�1L STATISTICS, WHICI� IS THE LFGAL DFPOSITORY FOR VIT�1L RECORDS.
<br /> C. L. Chism
<br /> (SFAL) DIRFC`TOR OF VITAL STATISTICS ATD ASSISTAAT STATE REGLSTRAR
<br /> Lincoln, Nebraska Oct.� 23 1951
<br /> I Filed for record this 16 day of l�tovember 1951, at 10:00 otclock A. M. (��� ����
<br /> Re ister of Deeds
<br />�
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<br /> o-o-o-o-a-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-o
<br /> AFFIDAVIT t�
<br /> State of Nebraska )
<br /> ' Iiuffalo County i�Tebraska ) Joe Klinkacek of St. Micha.el Nebraska, being first duly sworn says that he is
<br />. _ a son of Mary Klinkacek and th� brother of Louis Klinkacek, who on May 15, 1923
<br /> � - mad� a.n agreement in writin.g, havi�g *o do with the
<br /> Southeast quarter of section 8 township 11 Range 12, West of 6th P. M. Hall County, Nebra�ca
<br /> which agreement was recorded in Liook r,Or' of Miscellaneous Fiecords at page 268, of the deed records of Hall
<br /> county N�braska., in which agreement sa.id Louis Klinkacek agreed to pay to Mary Klinkacek one third of all
<br /> crops raised on said land, each year during the natural life of said rfary Klinkacek, and in. event of the
<br /> failure of such paynnent and del.ivery of rent, the certain warranty deed of said Mary Klinkacek dated the
<br /> 28th day of March 1923 whereby said land was conveyed to said Louis Klinkacek, and recorded in Book 63 of
<br /> Deeds at page 372 of said Hall County deed records, would be "null and void't, and said Mary Klinkacek or her
<br /> heirs at law, to have the right of re-entry and possession and said deed treated as a lease.
<br /> Your affiant shows further that his said mo�her was living with your affiant at the time the above
<br /> described deed and agreement was made, and had lived with him for many years prior thereto and lived with
<br /> him �he rest of her life. That she, hi.s said mother died in the year 1930
<br /> That said affaint helped his mother ir. all of her fianancial affairs, and helped her in collecting
<br /> rer.ts mentioned in the agreement a.bove described. That he knows positively that all rents described in said
<br />' agreement, and any and all other covenants and a.greements in said contract contained, were paid and delivered
<br /> and discharged in full by sa.id Louis Klinkacek, to his said mother, and that his said mother never had any
<br /> rea.son to clecla.re a forfieture of said contract an.d agreemer.t, or the deed, referred to in said agreement, and
<br /> no such f orfieture was ever declared or had or attempted to be done by his said mother, during her life
<br /> r,ime. That the deed above referred to is absolute.
<br /> That a.11_ of her funeral expenses and expenses of her last i.11ness were paid in full by your affiant out
<br /> of money belonging to his mother, after her death. That the estate of Mary Klinkacek was duly probated in
<br /> the County f;ourt of �uffalo County l�'ebraska, and your a.ffiant was the administrator of said estate, and no
<br /> claim was ever made by him or any of the heirs at law or devisees or legattes of �hEir said mother, '�iary
<br /> Klinkacek, against sa.id Louis Klinkacek for any rPnts er claim of� rents as aforesaid, since there was no
<br /> such rent due to said estate from him.
<br /> �ated at Ravenna R;ebra.ska this October 31, 1951.
<br /> Toe Klinkacek
<br /> Subscribed and sworn to before me this 31st da.y of Octaber 1951,
<br /> My Commission rxpires 11-10-t56 (Sr�^L) C. _j. Mingus hTotary FubliC
<br /> Filed for record this 16 day of fiovember 1951, at 10:00 otclock A. M, ��_, ,_, %��_.
<br /> 1?egister of Deeds
<br /> 0-0-0-0-C�-�J-0-0-0-0-0-�-�-0-0-0-0-0-0-0-0-C-0-0-0-0-0-0-0-0-0-0-0-0-0-0-C-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0
<br /> �ASFMI�NT A GRFE�NT �
<br /> This agreement is entered into between Bessie Hirschman, a widnw, as first party, and Rufus Dold and
<br /> Cecelia Dold, husbar.d wife, as second parties.
<br /> The first party as ,awner of Lot One (1) and the '�asterly Th�irty (30) Feet of Lot 'I�o (2) in Fractional
<br /> Block T�aenty-One (21) in Russel t�heelerts Addition to the City of Grand Island in Hall County in the State of
<br /> Nebraska and who concurrent herewith has conveyed to secarid parties the Southerly Sixty-five (65) Feet of such
<br /> Lot One(1) and the Southerly Sixty-Five (65) . Feet of the Fasterly Thirty (30) Feet of such Lot T�ao (2)
<br /> comprising a tract sixty-five feet wide fronting on Cleburn Street in such City and r?inety-Six (96) feet
<br /> long easterly and westerly.
<br /> A dwelling house is located upon the Northerly Si�cty-seven (67) feet of such Lot One (1) from which a
<br /> � sanitary sewer extends Southerly to the alley back of such Lot One (1) in Fractional Block 'l�enty-One (21).
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