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HomeMy WebLinkAbout20080423NUM PGS I ADAMS COUNTY, NE DO gr7 O+O PD_L5~! CK#~ INST. Nb ~~ V l1 t7 O 4 CHG ACCT # tP'S~ 20080423 RET F - CASH R.O.D. CK# ~bt~~i~•y-e~ Ol"IQ irC~I 7Cu>k Dateo?- I ~~8 - Time1~~~.M ,Rtc'D NUM ~/-~~ REru N RD. COMP ~ ~ ~=DG _ pp ~°~ ~ ~ - ~ K4~ ( COMPARE ~ ~~ .` R ~~`r~ument 1~iled D S • ~ ~ ~ a_ ~ .Signatures CADAS - AO '~ - are no riginal. d-/-off _.__._R~.l _ _ - -- ~ i3lock~di+ In{t{a1~ s """ Lots Two (2), Three (3) and Four (4), Village Roseland, Adams County, Nebraska, according to the recorded plat thereof, and the vacated West Teri (~(,~10) feet of Logan Avenue abutting said lots on the East. ~+¢k.R~ QIt11I1F .~}+J d~~'~I.,:r`i p•f4.rl,N~l •1l 17ifl.l~i 4Ha~lr"j/ra: '~~}.{ c ~~.f It/ Y'~ j ~Y .'.? ii '1.. ..~~t•''.I ~'htiCmr~i7 hT~~`~'r4~~J ~il~~ 1 i~ of ~~. ci~lf F'i~{1 P. ,i'ryY.. '~,, .flo. ,?' fQ ~? ~ K~+~/~F ~~I~~r "~ 'i~.r •Irr }}' ,~ k~ 2"•'r ;a ~ '~ , , r .U 7~nn. 'ESTATE OFINEBRAS-KA t ,~ ``,"I~ ~d It~'~~t. `~`~~~~ r;~1; '~~~~, ~ ~~e) 1 !I1?~-, J, ,~~ , y~,~.:iL at'~t rHdi, '{ ~ •'Yi„ T. ~~ ~+_ .~i' t r~, ri `71.. ,'~~':",:;i~fi-r ~~-,~:j ~.r. :,. ~~ f5. ~j ~'~:~T`, 1~ ~iER^ ro, a ~ It I, II ',r.c , .~, ~ '~,r ~., ~ f :~,. •, ,'t,.. -'.Yi , I :-' t d. ~ ~ i , r .i ~ :. ~~ ()44tt~~~~•,,p I ,.Ir +" ~r~,:.,r.~~l°"•WHEN'.,TNIS~COPY~CARRIESf THE'RAISED SEA, LtOF~THE~NEBRASKQ~DEP,ARTMENT:OF HEALTH:AND p J.^ G kti p rr.Y Y' ISM ,~ c I' I u T r 6 t.Pr1,~1,•; '~~ ~~, ~~HUMANSERVICES,fIT.,:CERTIFIES.TNEBELOWTO'BE•A°TRUECOPYOFTHE~ORIGINALIRECORDON 9 v• PPI~~ ~"'n\_. I~ I.. r_ ~.nFILJ6:WILLTHr~THEiNEBRASKA~bEPARTh1ENT:OF HEALTN'AND HUMA. N.SERVICES; ~VITAL~RECyORDS ~~_~ g~~' '~I,r •~- ~U:';:M t~r`~~ ~?y~• ~~~~"~ c^~~``OFFICE`.WHICN~IS'rTFiE~L'EGALsDEP,OSI•TORY•FOR,VITAL`RECOR175.~ :'~ai' ;~~ ,'~3~s1 f!~, ;~~;-'`~~K ~~ s~;~~~;`~c%~~v% ,flea 44 '~ ry[I t! •..,~ v,rl Sy iv f e-4 tg .,• ;•r '~ . - '~ F ~. Y~~+SI} :~~7 M1~•I ~~r ~~ Tµl~~ '~, II /~~~~~.~'•AI•~e•yr~t~Sr' y A ~~il1~i #Ytr~ ~i~~~V~1'~r ll. ~~ r.. ;rt ...' t ~"v~ •`v 1} t~ ','" ;~lr~i 1{~.. fT t~ln'~':7 SS 44 'f ;3•~r ~' i` gg~' 1rSSTt ~~II j _,I;. ~'~9• ,c" 'DATE_OFIISSUA,NCEi ;=;,::a,::`:1~'"fir `r-°:s ~. .'f#~ _- =~ ~iT, • °•'- --- ::F:~:.::':sl .s3. ~-.. H n , ~ 1 ~' ~5 7 4 ' .i ~ 1•'• l' , 'I n 7 9„ ': J S J t.l ~I...:..s f'. .I %;''f:. ;- ~;` pp ,lire, yn. .!~-, ¢. .,r~~ ,c~: -;fT':,~ tr ~.-- '~~t„ 'I - .-n=.I '• ~M yy :~~' ~i".fi gg _. ;~• "ii - ,Idl _ .,5?Pr.,.~~9 __:~ ,1j ~~~•"S_,TANLE1j GOOP.ER,,',t){I t4~. .',yy~:~~> 'F~' ~~~,'~I ~.. ~„~~~•~ •~i~:jj °t~a: ~~,9' ~' Y~ ~~°Q;~h^' a¢ ~ ~~ y' ~~li~•f~''1~~}I l~,;; ~! i.~'t~,~ASSI;Sf.AN'7,`~S•AiT REGISTRAR~II~II ~~ ~~ ;~ 'r ~~, '".>h.~: ~:,,,1~: C'y~~, ~~I-IM:U~B:Z~OB:;~ 'c_~~~ y•~i, ,~1 -~~I'. "".,df. '~~41" i i~;'F~ DEPAf2TihtENT~Ofa~hJE~4L`~Hr ~-~," - ~,; j^ ~:.,.: y..,.. .I .n Fq,- ~ r. AND .-a 9 ._. ',« r~';d "•.n'~~~~nry';i~,tv~: 'LINCOLN,'.IVEBRASKA`~~3" ih" tiy3' •••~ c}: ->~i1~ .`iY,t,~ Iti'I'~}~`f.~l7Mfi1V•'SLERVICESIYI 4 tt,J.•~~prr~"=~~,~~^Y~^~r{, ~' ~ ~~..Si4:,,•i~'t ~.! d3.:~,t•• i•,Y:i ;ir:;',:~ri:',':rd~•',;'~,it;d.:~',~.,1.~-x, stl~ii:'tJdj 4Jl~l'Ir't4 =1.141 ti'*i'~I`f~l ~` A ~3 ~.~a ~fi"RY+;~ I ~ d ~ ~ ~ -- 7 ~ ~ • • I~ • : ; ~ ~ ~ D ~ ' STAT KA'-~CEPARTME T F H : r,• 1 ~~. { .r~e.:i,. ~ ~ Ii~ e , ~ ~ ` dd ; ~ r I ! : j E OF HEBRAS H O ! EALTH ~r~.;~t.;,;: ~.} ., 1}. r!', ii 1' J~~ ~ • ~ ~ , i } .. ~ F . p. . ! . ~ 7 f q 4 .. . ? ~ ~' ;.;, ' p l9UREAU OF VfTAC $TATISTiC5' x { • . b ;.r~~~i;~r~ ~i.~~, 'al ~~~,,~~qi~:~~:4~ ;'~ , q`•g ^ t ~: 'V. 3 '~~;"1^~' aF,,'}.ti~.,•}•~n i'.ll•!','4, .~'''~'y~-a~*~CER7IFICATE'OFDEATHt-ii?~'yJrlE~vti!i~r~,A~i„~"~fTt°~iN O'~:g~9;•G,''`;:.i•!," xjr~:'~'.:~ ~~ 41 IJ~ ~jir. .li~ Ga:° ~.i ;M I~ ,.,1 ," • 1 { .. .. . t' • +; 1 ~.'1.;It ....../ ^..:,.{ 1 OED DEMt,• ,J1 r / (I FIflST , , ! I ! MIDIXE s 1 ^ V i " - ;UST t t ~ F . ' ,r_ ..~ '~.~.:...,'_.~ '.Nj . '{~ ';; 'S~ ) , ~ • ~ ~ ~ ~" • ~~~ ~ ~ ]SEX } f . • ~ r. -1:... . ] OAIE pF pEA1rt q.Y ,,.,~ ~ , ~ AA~ MTY .li-~ t~ fj1! ,~J ~ : ~ - • ; 111 ~' ' . ' NGERS ' : ~' Male . • ' ~~ r Auguet••±29 „19941' A 1 ANO'JTATE OF BIRTH Ikndn USA runty CarYYJI 1, /~,• ' I' :a t : : ' ., Sa.iAGE-Lay BAtlry }' 1 ' IINDEa1YEAR r MOS nA se s• UHDEpl PTY' • E. O117E OF BIR: H',fYYIR,~1v.YwJ t¢ ~ ~ . , , ~i ,f: ~~ ,~-'Cmunt~tl i ~ ,-j~- - 80 ; ,I„ J ;, ~Mws, s<.HDUas, .i~ ,''t,, .February ~27,'1914 7. SECUR7IY NUMBE 1 ~ ~ a ~ ' 2 : ~ ~ 4.,PUC5 r7F DEAiH. - .• . / I '508-A4-:6314 ~ i : Y Z + t j . a . . : ~ ~ ~ ibwrrA~: X C~ NoeFrvE i OTHER:. ~ Wr,^v HS+r ~ ~ ti - ~ ~; { ti . ,I • - ~ ! ~ ' •®. FACL+/Y-N+m. '1! lM rol m+Awstpw.er.N.+,dn.vnfrJ, , p ' [ ' Y ({ _~'Ga o,~FMre; aµ~,cF~ ' ~I` ~ ' 1 ~ ~ 1 Mary ~ Lanning.,•Memortial Hospital ~ s I 1 • ' `~ ~ , :, i • • • { • •~ DOA ~ • 'O' O .. / ' ; , 1 I ErI , ipr:i r ~~ Oc. CITY. lOVM OR IOCAfgry CF DEATH „- ' 1 OO: INSIDE CffF L14115 M. CC9INTY OF DEATH • ~ / : ~ I i I •• i. .. .. .. •:. ~. r'd~ rlo ~] Adame..'~. ~ ~. - ,,.•. tia~tin a I 0r, IIE9OENCE-STATE Cb COUNTY ,•, k, (.IlY.1DWN OH LOGTpN ~ ,. PO.,91aEET AHD NUMBER lMkA•pZp Call 9• INSIDE CRY UUTTS Nebraska' Adama t Roseland. 7~ box 112 74 CJ "' .10..:uCE•I.y,wl.te. &AC,. An ~Fqun 11. AHCESTRYIag tavln McRC•n, GerntlR elcl ~~W,'iREO ^1MDUWED 19 NAMEOF SPOUSE'rr.r<. Q,r nr:,a~,MMI ' •1c11Sne r l' ~' < v 1 MI '' I O . 1 NEVER bIVORGED rene Son.ifas~•~~ ' - White ~erman ~ . I+L ULUAI U:CUpAigH~ rG•ro cv,fd.w rdn arr.~naw t+b NINb c.1F BU5wESS MDUSIRY 13. EDUCATpN ISPECer ~•-N com(.ieM01 t ~ - '' I 1. _ Facmer~ ~ _ {'•/..~ Agricultural-. ~. r~ I I: ~~ /n,5acu~0er, IP tZI. .. CWge.lt.. a3•t '~)ff""r• _ - 1tt.FAT~-FNUE.,. ; FnST MCOLE ~UST-. .. 1T. 4107 ER', .FIRST WOOLE LwOEH n+i..4f Frank•'Man era • - ~ ~ ' 'Louise iioxmeier - •• '' ld WAS DECEASED EVER H US MMf.U FOITCiST IW WFOFiL1A1TT •NAME t (YH. M d SRI IF MF. q.e ,iv W O+I,a b Aidgcl _ '. ~ ~._._,1_~:_.__ _. ~ ~ ' rene Man ere ~ Wife I ' 1fD,MOr•WYi.;,,.. FIALPID ADORE55 .... ISTHEF1 OR RiD I1O,CRY Oa TOWN, ETATE.LPI ~ ~ ....... .. - Box.°112' •Roseland;NE -' ;68973+~ ~'• ~ ~ ~ ~-' ~ ~ -- • • " • . ... _ i t , :L EYBAIIiEA. SGNA LICENSE I+O .. .. ]i<IIE!N0OOP Dl~A;~IIgN 7tb •DATE.r..-Y..• ~ .~-~i1C, CF5IETEPY OII CREMAIDHY •N/JAE p `~ C,~~_ ` FJC~d//#848'"-' C~q,,,,r • ,~~,,,,,,,,,, Sept rdl, 1994 .1 AssumQtion•Cemetery •,,.. • - 13A~fUN<-f41L Fg1.1E-Wrt,!E ~ ZI• CEAIEIERY OR CRE4A(OaY LOCA:IDN~'-• CIfY Da Tp1N1 STATE''• ' Livir~aton-Butler-Vol•larnj ~ - ~°"""°" 0°o'r"" Roseland, NE '. ' aD.ru+EAALFFwEAno4E~c ISIrrE{t:xlkF.o.HO..rnvcriTOVm.srATE.aP/ - , '~ • t , . , 1 25' N. ~ ~ .m 'Fiaetin •, •NE 68901 - -- ' «l Icw1E0~ $E ,., , I 7ER ONLY ONE CAV HLME FOR fA1.ID1~AHO1t11 I Fr.-alDgww. >~y ry JS+p, PART" •' r ~ ..~ 1 I+I iO. ASA SfdJfl: CE pE - Ieervr Once., boq eN daO ~ . :OUE TO, ACOH5/E~.O/U/'F EOF.... _'--- - I ~ Y~~~d.~~~ '. PMT UINER S14N61CAN1 CONDITIONS•eoYlewu OOOYLt•IiYbMdeih ODlyd IWl.d _ .'. •. PART YrF lGµ,LElYA51FiEREA 7J AUTOPSY Y YEAS f,ASE PEFENIED TOIEOY/1L , ~ r ~ ' PTif WJAHCY PI THE PA5171AOFITRE, .. EXAMREP Oa CO1gHE N • " ' I ~ • : .. IAy® tD.1t1 Yb n 1b ~ } F ~ 7 YG• ~ N,i. ~ Y4 ~ Ha-r--I ~ , O•'v .. , , 26b DATE OF kUURY IA4t. Wy, v,.J 2b: HOUR f`F O11URY 76J. DEY_HIBE NOW IrWRV OC[UREU , Ac:lOVll. ~ IMdlrrlr,ea. ,' ~ . ' ~ I'~ M ~~ --T1 I SucW '•IJ PM•~V 7b+r.I.:LRY AT VlOftN M/PI A[:~OF JURY ~l1 L-J Irrn .FM ltlry Abp. IOCATgN STREET DA P-FO.'IO. CJ:~OfliV.'!!: STATE .•- nFCe .++A ,M1 ~ ; (( . ~.. 1 .. .. .LJ Homed In..,b.d, Y+. ~ /b ^ . ]1u DALE OE DEA,H IAAa psY, Yrl - -- --~~~ 1la, OAIE STONED /Ab CAY "~ 1 11b- TIME DF DFA:N • ri• .... ., - o .pWCauet 29,4 1994 a ' • M tiD UA'E SIONED~ 14H pay nl' 91t •Ia.E OF pFATH ~ x+c PaDHOUrvcEb oEAO liw Ory, nl ZOO. PRtXVOI/M;EL•Dt/~D l.'Ibtvl ' ... .. ' ~ ~ ~~ 9` Se~itefn(T. '~ ~ ~ ~ .3:25 - ]1d ?:~ h ~ n vh•., e.+ W<v vne a ~ ZM. P, me w» a evsmmron am~v i„ast4akn. n m! A'nvOO dM Pccu.ad r n • c ~~ ' ~ . / YY ~ . reonK. a>Dewpu. al.l a,eaFV UUNel y.ad.. • .- l,T . r , 4 ~'^' ~ 5 uWF Frxl 7,1± -_~-~ h W 1 (Op9A{OO0 USE CONI RIDU E TO TIE OEAl N7 • • O . MAS DRGAN OH TISSVE DONATION BE ... EN CONSIOE{i<01 _,. OO.h K'A9 CONSEM GRAYTEOT --.. I!`~YES ~ HO. ~ UNI(fpYIR n YES ~ NO ~ 7E3 ~ ryO ~ - OI•/TAME AFq ADDRES&(:1 CERILIEa IPNYSICLW, CORd1ER6 PHY61PrIN OgCWNry AT1ORNEYI IF/peb Mdl -~ -• ' pr: Robert Mast:in ~-1021 West 12th, •Hastinys,' NE •68901 - ' • ~ 31D DATE FLED BY REL•ISTRAR Y .. I M V ~) , ~}i„ ~.1;. ..~; ~i; I - I~ ! 1 • ~ ~.:... i1 ~ + . I . .. ~.. .. ..•1 ;^ ~ I . . . .... . i l .. .t It