188200ORIGINAL TO CITY CLERK
PRESENTED BY
cnumi-zeioN
_.z , ..,;
" OU,N
Council File No. 188200 —By Milton
Rosen, by request —
CITY OF ST. PA Resolved, That the Council hereby
RICE OF THE 'approves the award of the Contract
CI
Committee therefor and hereby awards
c^ contract for furnishing all 'labor, ma-
�L RESOLUTION- terials and services necessary for and
R //11 reasonably incidental to the wrecking
.1882 CO
- 11958
ZONING APPEAL
Notice is hereby given that A public
hearing will be held before the City
Council at 10 A.M. on June 26, 1958, ,
in the City. Council Chamber in the
RESOLVED, That the Council hereby approves ttmiatter;of the appeal of House, nd Elsie r;ommittee
Stringer under Chapter 60,. St. Paul
Legislative Code, Zoning Code, for
therefor and hereby wards contract for furnipermission to expand their motel .to
y permit restaurant on the south side of s and
Hudson Road between White Bear and
Kennard, also described as except the
services necessary for and reasonabl incidersouth 673 feet that part, of State High- Ora e
y sway No. 12 of the West 433.08 feet of g
the East 937.32 feet of the Southeast
quarter (SE%) of Section 34, Town -
Building and Skating Room Building located atship 29, Rangg 22, Ramsey County,( Minnesota
Minnesota.t Ij
Dated June 11, 1958.
to MINNESOTA LUMBER & WRECKING, INC. in accoY JOSEPH R. OKONESCferlt.3tions
r (June 14, 1958)
therefor hereto attached and the Formal Bid #7177 of said Minnesota Lumber &
Wrecking, Inc., City to pay Contractor $290.00, such bid being the lowest and
said Minnesota Lumber & Wrecking Company being a reliable and reasonable bidder
and the Corporation Counsel be and hereby is directed to draw up the proper form
of contract therefor, and the proper City officials hereby are authorized to
execute said contract on behalf of the City of Saint Paul.
Formal Bid #7177.
COUNCILMEN
Yeas Nays
DeCourcy
HoHand-
Marti n a nn
Peterson
Rosen
Winkel
Mr. President, Dillon
5M 5.58 2
0
JUL 2 1.958
I
Adopted by the Council 19—
R 2 1958
Approved 19—
Mayor
PUBLISHED
DUPLICATE TO PRINTER N
CITY OF ST. PAUL FILE NCIL NO.��
OFFICE OF THE CITY CLERK
COUNCIL RESOLUTION — GENERAL FORM
PRESENTED BY Jane 27 1958
COMMISSIONER DATE ¢
1
RESOLVED.. That the Council hereby approves the award of the Contract Committee
therefor and hereby awards contract for furalshing all labor, materials and
services necessary for and reasonably incidental to the wrecking of Storage
Building and Skating Roes Building located at Dmmiug Field, St. Paul, Minnesota
to iiIiv=O1rA. LUOU &. ili6, INC. in accordance with City specifications
therefor hereto attached and the Formal Bid #7177 of said Minnesota Lumber &
Wracking, Inc.,, City to pay Contractor $290.40, such bid being the lovest and
said Mim osota Lumber & Wrockin$ CorVaay. being a. 'reliable aid roasonable bidder
and the.Corporation Counsel be and hereby is directed to draw up the proper fors
of contract tharefcrs and the proper City officials hereby are .authorised to
execute said contract on behalf of the City of Saint Paul.
Formal Bid #7177.
COUNCILMEN
Yeas Nays
DeCourcy
Peterson Tn Favor
Rosen AD
Winkel Against
Mr. President, Dillon
5M 5.58 `2
JUL 2 1958
Adopted by the Council 19—
JUL 2 1958
Approved 19—
Mayor
Minn. R -3
Attachment 1 to UPPER LEVEE RENEWAL PLAN
BOUNDARY DESCRIPTION
UPPER LEVEE RENEWAL AREA
Beginning at the intersection of the centerline of Elm Street and the
North right -of -way line of Shepard Road (Upper Levee Road), proceed from
there in a Northwesterly dire ^tion along the centerline of Elm Street to
its intersection with the North right -of -way line of Washington Street
extended East to said centerline, then along the said extended North
right -of -way line of Washington Street and the North right -of -way line
of Washington Street in a Westerly direction to its intersection with
the Northwesterly right -of -way line of Spring Street; Southwesterly
along the.Northwesterly right -of -way line of Spring Street to its inter-
section with the West right -of -way line of Wilkin Street, which is
thirty feet (30.09 West of the dividing line between Sec. 1 - T. 28 N -
R.23 W and Sec. 6 - T. 28 N - R.22 W of the 4th Principal Meridian in
Ramsey County,•then in a Southerly direction along the West side of
Wilkin Street to its intersection with the North right -of -way line of
Shepard Road (Upper Levee Road);'then in a Northeasterly direction
along the North right -of -way line of Shepard Road (Upper Levee Road)
to the point.of beginning at the centerline of Elm Street.
23.
n
RELOOggiol PLAN
Upper Levee Renewal Project, Minn. &-3
The following relocation plan consti#utes the program for effecting re-
location of the sistyufive families to be displaced from the Upper Levee
Project Area.
g� = OP ADMINISTWIVB ORGANIZATION
The present relocation staff consists oft A Relocation Officer,
Assistant Relocation Officer, two Family Assistants, Property
.Manages and a C1erk-Stenographer. All of these persons have
had two to four years experience in relocation. The total
staff -time of two family assistants, and such portions of
other staff time as required will be-utilizecl until relocation
is accomplished.
B. 130-USING STANDAM
The following standards will be followed with respect to evalu-
ating the physical condition and suitability of housing as they
relate, to the. minim= requirements for sanitary conditions,
cooking, heating and lighting facilities, structural conditions,
occupancy standards, and neighborhood environment. (It is an-
ticipated that during the period of relocation, a Housing gods
will be adopted within the Oity. The current draft or the
adopted Oode gill be used as a guide An making the determina-
tions implied'by these'standards.)
1. c io
` The building must be so located as to provides
neighborhood environment Which is healthy, safe,,
sani,tair and ao ; detrimental to the morale of minors.
.1
$. CQad
tion of etructwce
as
The structure must have adequate and safe mater
*apply and sewage disposal.
b.
It must be free from serious daylight ob s` ruction.
o.
Hatiple dwellings must have adequate wdts and
public hall lighting.
d.
The structure must be free from snob physical
deterioration as would create health or safety
hazards.
e.
The premises must be free of insanitary conditions
and safety hazards.
3. CorAilion
of D1e11iva_Uri1t
The
dwelling, whether an individual house or a unit in
a multiple dwelling, must most the following criterias
a.
Permanents safe and reasonably efficient kitchen
facilities including sink with hot and cold run-
ning water and provisions for a cook stove.
b.•.
A flinch toilet and a bath or shower in useable
condition must be available for the exclusive
use of each 'family.
a.
Potable running water must be available within
the unit.
d.
Bach unit in a multiple dwelling must have a
sufficient number of exits to provide a Safe
means of reaching outdoors at ground level.
e.
Adequate electric lighting and safe wiring
must be provided.
f.
Seating facilities must be safe and adequuate.
2
g. Living rooms, bedrooms and kitchens must have
windows. (Windows opening onto an air shaft
shall not be considered as meeting standards.)
h. Toilets and bathrooms must have some means of
ventilation.
4. ,Qccuuancst Standards
In making referral to a dwelling unit, the relocation
staff shall observe the following occupancy standards
to insure that dwelling accommodations are in accord
with objective standards of health and decency.
a. Sufficient space must be available in relation
to size and characteristics of the family so
that it would be unnecessary for a family to
occupy accommodations which would result ins
(1) Bedrooms being occupied by persons of
the same sex, except married couples
and children under six years of age.
(2) The use of living rooms in one - bedroom
units for sleeping,space for more than
one person.
(3) The regular use of living rooms in units
larger than one bedroom units for sleep-
ing purposes.
b. In observing the above standards, the following con-
siderations shall be taken into account.
(1) The number of persons expected to occupy
each bedroom shall be determined by the
bedrooms capacity to provide for adequate
.3 j'
c;
r
r
furniture and healthW, comfortable sleeping
arrangements.
(2) Every child will be considered a person, except
that an infant under le months of age will not
be counted as a person for occupancy standards.
C. The maximum occupancy limits are as follows$
0 -1 Bedrooms 3 persons
a n 5 a
3 s 7 q
4 s 9 K
5 a la a
Notet These occupancy standards may be varied
provided there are special circumstances not
normal to the average family and provided that
such variance is approved by the Relocation
Officer.
5. Location in Respect to place of Enloyment
In making referrals to dwelling accommodations, the
relocation staff shall make certain that no family
is forced to accept housing when said housing would
necessitate the head of the family commuting an un-
reasonable distance to and from his plane of employ-
ment.
g� - bility to P�.v
The following shall constitute the rent - income ratio
and criteria for evaluating family ability to purchase
housing.
4 a
a. Tenants
No family shall be recquixed to accept referral to
a dwel.ling knit if the rental charge for such unit
exceeds 25% of th9 familtee monthly .income. In
applying this ratio, carq and judgment must be
exercised so that the individual needs and res-
ponsibilities of the family are considered.
Some of the factors which must be taken into cony
sideration are size of family, and age of children;
unusually high expenditures of income for medical
treatment or care, excessive family, debt$. When
any of these or other factors exist the family
visitor shall discuss the circumstances with the
relocation officer, and a fair and reasonable ad•-
juatment shall be made.
b. Home Buyers
It shall be the policy of the Rehousing Office to
consider the following in the purchase of a homes
(1) the cost of'the house should not exceed 21
times the annual income.
(2) when computing annual income, the income from
all secondary wage earners should be evaluated.
(3) sporadic income of minor cbildren'or working
wives generally will not be taken into account.
(4) income derived from working wives who are in
the child - bearing years must be realistically
evaluated.
(5) the age of the purchaser shall also be considered.
,5
c. PTLMOING a,L- 29ATION aESOUa S
since the project consists of sixty -five whi•`,e families$
and since no ocher -major public displacement is contem-
plated curing this period, it is believed tb..t there is
no de P
licit in riva'�e or ;public housing supp'_y, It is
expected that the families in the project will be re-
i
housed as fol =owss
1. Twenty -nine families are apparently eligible for
low -rent public housing. It is expected that
fourteen of the twenty -nine will accept and move
into federally aided low -rent housing. The reloea-
tion of the families from the Upper Levee project
coincides with the completion of seventy -two units
in the Mt. Airy Public Housing Prdject. This
together with normal turnover occurring at the
other two low -rent projects amply fulfills the
need for such units for displaced families. Prior-
ity shall be given on low -rent public housing for
eligible displaced families.
2. Forty-two or sixty -four percent of all families
from the project area are expected to buy homes
and will have substantial down payments.
3. Nine families will seek private rental housing
and will be referred to current listings for
decent, safe and sanitary housing which has been
certified in accordance with the above outlined
standards.
D* TWORABY MpgAT ON
It in expected that there will be little or no need for
.6
WHMwjw,whw.B6Oxd of RmO4V CoW*y Com4spioners and they Cotua di of than City
Of St. Pain: at d s proportionetay A pzl OO#bid f Saar ra n for d rice
Va O Ili 90i0y. Oomby for the yes*, 1$% the svi of $950000,00* and
NSA¢ 'to 'r tioaai.. oioomai.# OmUtIons ttW* craws sod Is an .lw -"a* is
o Row Com :reouiios atY. v areseen 3 t iffier of
dixaot r�rl a mss: the rLmt - Raur aax?rrt o= t yvw '19�% ad at ncreaus*
,
in coo: poi -come..- 44'. Poro+s�n` zor p . led fox at. the linnet t ..190 Comity Welfatr�i
bit adpiftd} #jA
Wit ! ! a rowat, t o eptua3; i for UM4 rocs tot t * mist
:f= sob tl* of 9g8,* OnodmWd to IZO, 00 . ma the Otuapoqd expa to * tor'
c�ireat ? lief` AU#ft tb�,saatirii y 1958 Is qxtiftted vAl. bs 1139a W6.80 which
Vouid resuat a .s oil. oi* $7$9, 96.80 .iu X958 w r: 1? :# and
$4.71 *961.66 0f . '195T Y We a bud t ; got .tea- that
year, 4 .,� 1'j2:20 3s Gbaaat t y789 4 is ' City' of 8t., PW4 'ieQm3tr
and .
.Tt is tbs IU4 obU;atiou of tips County of :Od.. of the City.
of St. Paul to pro4idm for tile, -care of the poor of the' City 'sad County, Nair, Uwtetorle,
130: It
RE�(B.YSD day he .&�a�rd of Courwty. Caeq i oz�irs vt� thr C quAty. o�`,.'R y' (Could U,
„ , l Ci ' Cty�s} mx957 Welfastr Boaud of tbe1 qUV of S4 PwA ht
beget amow#iiws to: $ d, :7 + ($i29a789.46) be, auad :M ber«by iii transferred to
the 190 Wi s ' Board., buftat, WX44 Rgl4et Aauouut, Conditiongd- upon simJ2"
lectors by the Cecil of the City of fit. Paul (Board of Count ionrrs o
the County of RpMW) to transfer to the 1$FA Ws1laure Boat. buffet* #-be City's
( Comty' *) Mho' of said 1957 eurpllus ttim is -
r
i
temporary relocation. If one or more displaced families
meet with ler;vhy delay �.n possession of a house which
they are buylug or baildl g, skitab!", tempor -ary relocation
will be effectoZL.
E. RMATT HOMES III SITE
1. The follcAng contacts with Bite occupants have
already teen made:
i
a. The attached letter, Exhibit A. was used to
inform site occupante and owners of property
in the contemplated project.
b. d 100 percent survey has been completed since
all properties in the project area will be
acquired.
ai The following services will be rendered to displaced
families:
a. A relocation office will be established Within
the project area.
b. Referrals to suitable private rentals will be
gives to families by the Family Assistant.
Three" rejections -of such referrals shall be
considered as refusal to accept suitable
housing.
c. Applications for low -rent public housing will
be taken by the gamily Assistant and will be
processed immediately by the Tenant selection
Interviewer. When it is determined that the
family meets the requirements for low -rent
public houeiag, it will be offered the first
G
available unit.
d. Referral to sa? es housing trill ba made by the
Family ,I.asistant in a realistic ne..ner, and
where etch assistance is needed, help will be
sought for the family in obtaining mortgage
financing. The City has made application for
certification for 221 financing.
e. Self - relocated families will be visited after
relocation and the dwelling unit will be inspected.
If the dwelling unit fails to meet the criteria
listed under b, (1) and (2) above, further assist-
ance will be offered to the family until such time
as the family obtains standard housing or refuses
further assistance.
3, jAocat on Payments REORKSM
Relocation payments as provided for under Section 106 (f)
of Title I of the Housing Act of 1956 will be used for
this project.
4, Eviction EQ11cv
The processes of eviction will be used in the following
cases only:
a. Nod-- payment of rent after every effort has been
made to induce payment;
b. Sefusal to accept and move to accommodations offered
far permanent relocation which when offered'are
decent, safe, and sanitary; within the financial
means of the tenants; and reasonably accessible
to transportation and commd:nttr facilities; and
3 ".8
refusal to accept and move-to tempOrary-
relocations when essential to clearance
of a portion of the site in accommodations
at least as good in all respects as that
he now occupies;
c. Continued unauthorised or illegal occupancy
or upon the creation of nuisance by the
tenant.
5. Communi, tt Paxticivatiou
As a result of the visits made by the relocation,
staff at the time of the survey. a climate of
acceptance and good will toward the local public
agency has been engendered in the community. A
citizehts, dity -wide Relocation Advisory Committee
Is already in existence and should the need arise
the members of this committee are available for
consultation with the relocation staff.
6. There axe no additional relocation requirements
imposed by State or local law.
•9 1
Financing Plan
STATEMENT OF METHOD PROPOSED FOR FINANCING THE THE UPPER �� REDEVELOOPMF�TT,
MILAN. R -3, ACCOWANYPTG THE MEVELOPMENT PLAN MR
PROJECT, MILAN. R -3, DATED JUNE, 1958-
Minn. R�-3,� rill be financed pursuant to a
The Upper Levee Redevelopment Project,
Lce-4t and Grant Contract with the Federal Government acting through the Federal
Sowing and Home Finance Administration. This contract will provide for temporary
loa;s to be made or guaranteed by the Federal Government to the Authority to
fi °u-oce project expenditures and for a Federal grant and Iowa grants to meet th9
ne;f costs of the project.
The plan for financing for the Upper Levee Project is summarized as follows:
1. Total project expenditures
(not including relocation payments)
2. Local Non -Cash Grants
(Including credits for construction
of the flood control levee, Shepard
Road, and Elm and Washington Streets,
benefitting the.Project)
3. Gross Project Cost
(Item 'l plus item Z)
4, Return from Sale of Land
5, Net Project Cost (Item 3 minus Item 4)
6, Federal Grant
7, Local Grants
a. Local Non -Cash Grants
by City and Authority
This Project
b. Cash
Federal Relocation Payments Grant
(Nop includdd in gross project costs
aii c've )
Estimated
y,
Am t�n� l -..
$512,56o.00
plus $170,890.00
$683,450.00
$zi5.000�o
$46o,450,00
$2979560.00
$170,890.00
None
$12,175.00
CITY PLADi'NING BOARD OF ST, PAUL,
1313 Courthouse .
RESOLUTION CONCERNING REDEVELOPMENT PLAN FOR THE
UPPER LEVEE RENEWAL PROJECT, MINN. R -3
WHEREAS, Minnesota Statutecc 1954, Section 462.515 pro -
vidd that the planning agency of the munici-
pality in which an area is to be redeveloped
shall provide a written opinion as to a re-
development playa for each an area.
NOW, THEREFORE, f3E IT RESOD VED BY THE CITY PLANNING
BOARD OF THE CITY OF SAI1'IT -PAUL that having considered the
plan entitled "Redevelopzhent Plan for the Upper Levee Renewal
Project, Minn. R -3" which plan consists of and only of the following
items all of which are dated Jcuno. 1958, except as noted:
A. The Narrative
Attachment 1: Legal Description
B. The following maps dated March, 1958
Map A: "Project Area Plan"
1Virrp B: "Street and Highway Adjustments Plan"
Map C: "Sewer Playa"
Map D: "Water System Plan"
Map E: "Private Utility Adjustments"
Map F: "Zoning Plan"
C. Relocation Flan - Upper Levee Renewal Project.
The City Planning Board now advises the Saint Paul City CoQncil8
the Housing and Redevelopmexit Atiho ity of the City of Saint Paul
and all others that it is the opinion of the City Planning Board of the
City of Saint Paul, Minnesota that the objectives and purposes of
said Plan conform to the genes-al playa objectives of the City of Saint
Paul and that the proposed land uses. streets and transportation pro-
posals grid other provisions of the ?)an are consistent with the
Preliminary Guide Plan for Saint Paul prepared by the City Planning
Board in 1958 and adopted by said Board on April 11, 1958.
Kaye S 0__
Motion C-,- �
6/13/58
CERTIFICATE OF DEATH
1. PLACE OF DEATH: STATE OF MINNES0TA
County of Ramsey
10. AGE Yon
City of Saint Paul
Dar 4
a IF LESS than 1 1,
No. 2.197 Goodrich
Ave
Length of stay:
11. USUAL OCCUPATION Locomotive EMineer
In hospital or institation
yrs —mos- ays
In this community 40
yrs- rnos days
3. FULL NAME
Harry J 'Nilson
OF
.. Ulsorced a ee, ----,a or
to Married
Wilson 1 59 Years
9. DATE OF BIRTH
December 26 1662
10. AGE Yon
Mtha
I on
Dar 4
a IF LESS than 1 1,
64
1
I 11 —hn. ar�1a
11. USUAL OCCUPATION Locomotive EMineer
12. -Y OR BUSINESS N P Ry
13. BIRTHPLACE
Lexington Ohio
James A Lrilson
It. NAME
1
W
Other condition•
15. BIRTHPLACE
Ohio
s 1G. MAIDEN NAME
Anna Thompson
17. BIRTHPLACE
Ohio
19 THE AUOVE I9 TRUE
Infernant•aawe
TO THE BEST OF MY KNOWLEDGE
Hazel Nilson
6�anaar
,1
2270 C t A
ur urw.cwnau:
Minnesota
City St Paul
No 2270 Carter Ave
sldenee within Units of ells or i— rooratd .111 -1 e6
MEDICAL CERTIFICATION
22. DATE OF DEATH February 7 1947
rr. I HEREBY CERTIFY: ,Tthat I attended decnsd from
Feb eb 23 194 1. Feb 7 1��J
I wt saw h im all- on Feb 7 I� 47,
To the beat d ss kn d onledre, death arcurr on the date stated
soon. a• — . — /
Im d cu
ints ves f death
coronary thrombosis
. j Dantlaa
hr
Do. b
Do
Other condition•
Phsalela�
Underline the
use to which
deatn should
b lute°d eta•
tlatleaas.
(Include preaoancs within 7 months of death)
Major dndl.—
Of sDenllo.•
Of aatopes
Addn•• —_ ar or ve _ 24. If death wee doe te eatem.I -ese, all 1. the foilowlna:
1s. Donee .e 2 /h h 47 i; (a) Ardaent..alrmr..r namlrla. avrrlrr)
Brainard Minn D• w---"
Renosd to (Cremalto _Y_es) (b) Date of oeeurrene
20. Sisn:iore of Emb lm F—ral Director: - 1697
Emh. Lie. N (e) When did Inlorr occur?
Arnold 0 Cinje °—Tli— i (City orto..) (Count,) (state)
tD. We. N ( (d) Did Inters occur In or about home, on tarn, in Industrial place, In
Add—
Dvblle DInn7 While at work?
eirm N.m Listoe & �vold (e) k ?can of I.J.
21. Data Reesl,ed Ns-
2/10/47 5629 Hal en Desalt xs. 91aa.tpr rr 9L D.
_ _ Elan °lvn of Wools Realstnr Add•••• 1515 Charles 2/8P4
7
Date
Amended puritunnt to authority received and filed In Us Idlaaeeota ntafe Dgartmut of Health on
of Public Safety- - Bureau of health- Division of Vital
rrt2T•Irtr ATF OF DEATH
PLACE OF DEATH: STATE OF MINNESOTA
County of Ramsey
City of Saint Paul
2267 ComnonWO<h
No. -_.
'Length of stay:
In hospital or institution_ yrs.— mos. —doya
i"'itnlion, Rivn prp
2. USUAL RESIDENCE. OF DECEASED: or -deuce pnor its
Minnesota
State -_ County - Township__ Village -- • " ' "
City_ -
No...__._ 2267 Com_tauwealth _, -Yes _ -
n th
3. Full. NAME Ruby L Field
- MEDICAL CERTIFICATION
t. (p) SOCIAL SECURITY NO. I 4. (b) IF VETERAN. NAME WAR I __ August 23 1941
None �I 22. DATE OP DEATH[ �
s. sex i. COLOR OR RACE I �. on r�� +larded• «'wowed or eev_oral
Female I White 5larried i� u. 1 HEREBY CERTIFY: That I attended dec cased rrom
wws9rg 19 to Aur 2—.> -3
S. fo a >mrded. Ww.w.d or Dlrarced, I e. (b) AGE a aloe II Aue 23 1+.
NAME OF IJUSBAND OR WIFE I last saw h �r .lire on
6C years 1 o the Lcat o1 my 1 nowiedae, death occurred on [he Q+te a[ated�
Albert M Field _ _ _- I / /(1 uarat,an
January 9 1883 — `/.�!__ -. • -- -- --
+. DATE OF BIRTH I Immediate -use of dnth
I+. AGE Year. I %I,;th. I Day. I IF LESS than I day. Acute cardiac failye_— .. _
_ 58 7 14 _hrs. ar —min. ,I -
Housewife I -- ...
11. L•SOAL OCCUPATION _- - __- - I H er£eneion severt3l ,
Dueto -_ - -. -_ -- _ —_ - __ - - - -_ . _ _ - -- - '
u. INDUSTRY OR BUSINESS �I
13. BIRTHPLACE
Due to_ -.-
_ A lust E Shraudeaba'dlh _ _- -_- - - - -- -_ - -
Is. NAME ,_. -. - --
other canditfon. Diabetes IDellitue Physician
Merton Wiso _ I (rnclnde presnency within 3 month of delta)
IS. RIRTIIPLACE ,_ ".. -. _. .. _ - -• �I Cnderiine We
e to whah
`Sarah 7 1laror flndlnQs: - depth should
tI16. MAIDEN NA1fE _ _— _- ..__._ __. __._ _ T - - - -.^ twehprRedsn-
w iI Or uatitouy.
17. BIRTHPLACE II g erteneive SyndrOIIe
I IS. 771E ABOVE IS TRDE TOA IIPt 'I' P MY ENOtYLEDCE Ot autopsy-..•..•- --
Informant's own M 1e d
i info want's 2267 Cotantonwealth - - -- -
Addre II 27. It dnth wee due to external cause, all In the foliowln¢:
19. Burled at Date I{ (a) Accident, suicide, or homicide (specify) - - --- -- -
I or Hartland Wiso (crem.han- Na-ya) -
Remo.ed to 2388 (h) Data of accurrenc - - --
2s. ElIInature of Embalmer or Funeral DlEmb.rLl<. \o.-_. -- I (c) Where did Injury "curl
(City or Town, (in Industrial Mate)
Harold C Anderson - F. D. Liu No._ _1150 � (d) Did Injury occur In or about home, on farm. In ladustrlal Diue, la
Address 334_ =, Snell nT �Y St P1�_. - ^� -- II puhlle Dlace7 - - - -- -While a[worki
21. Data Rexelrad No. II 25.
8/25/41 113,267 M.R.Dean
Signature of Deputy 11"letrar Ad
Amended vunusat W authority r.. dead and filed In tha Min—ta Pau• D.P•.,w•a••t •t R..uh ""