
The Mississippi River and Des Moines River converge at Keokuk in this mid-1960s study, revealing a city deeply shaped by its industrial and transportation geography. The urban core is a dense grid of civic and educational landmarks, featuring several parochial institutions like St Vincents Sch and St Peters Sch, alongside prominent medical facilities such as St Josephs Hospital and Graham Hospital. The rail network is particularly robust, with the Chicago Burlington and Quincy and Chicago Rock Island and Pacific lines tracing the riverbanks and serving the riverfront industrial areas near Bluff Park.
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