![Crowd standing outside M.S. Koch General Store and Sunset Saloon, D'Hanis, Texas - General Photograph Collection - UTSA Digital Collections Crowd standing outside M.S. Koch General Store and Sunset Saloon, D'Hanis, Texas - General Photograph Collection - UTSA Digital Collections](https://digital.utsa.edu/digital/api/singleitem/image/p9020coll008/4916/default.jpg)
Crowd standing outside M.S. Koch General Store and Sunset Saloon, D'Hanis, Texas - General Photograph Collection - UTSA Digital Collections
![Kelly Koch, Miss Iowa 2016, looks to impress at Miss America pageant | Limelight | iowastatedaily.com Kelly Koch, Miss Iowa 2016, looks to impress at Miss America pageant | Limelight | iowastatedaily.com](https://bloximages.chicago2.vip.townnews.com/iowastatedaily.com/content/tncms/assets/v3/editorial/5/7f/57f65460-7446-11e6-b864-c7764102e33e/57cee0a8c3a73.image.jpg?crop=960%2C504%2C0%2C227&resize=960%2C504&order=crop%2Cresize)
Kelly Koch, Miss Iowa 2016, looks to impress at Miss America pageant | Limelight | iowastatedaily.com
![Freiburg, Germany. 22nd July, 2021. Elke Koch gets her work clothes from a vending machine in the basement of the hospital before starting her shift. Ms Koch is deputy ward manager of Freiburg, Germany. 22nd July, 2021. Elke Koch gets her work clothes from a vending machine in the basement of the hospital before starting her shift. Ms Koch is deputy ward manager of](https://c8.alamy.com/comp/2GDDM2D/freiburg-germany-22nd-july-2021-elke-koch-gets-her-work-clothes-from-a-vending-machine-in-the-basement-of-the-hospital-before-starting-her-shift-ms-koch-is-deputy-ward-manager-of-an-anaesthesiological-intensive-care-unit-at-the-university-of-freiburg-to-lsw-summer-series-baden-wrttemberg-by-night-to-dpa-clinic-night-shift-ten-hours-of-responsibility-over-life-and-death-credit-philipp-von-ditfurthdpaalamy-live-news-2GDDM2D.jpg)
Freiburg, Germany. 22nd July, 2021. Elke Koch gets her work clothes from a vending machine in the basement of the hospital before starting her shift. Ms Koch is deputy ward manager of
![Freiburg, Germany. 22nd July, 2021. Elke Koch (r) and a colleague (l) are handing over a patient's bed. Ms Koch is the deputy ward manager of an anaesthesiological intensive care unit at Freiburg, Germany. 22nd July, 2021. Elke Koch (r) and a colleague (l) are handing over a patient's bed. Ms Koch is the deputy ward manager of an anaesthesiological intensive care unit at](https://c8.alamy.com/comp/2GDDM2X/freiburg-germany-22nd-july-2021-elke-koch-r-and-a-colleague-l-are-handing-over-a-patients-bed-ms-koch-is-the-deputy-ward-manager-of-an-anaesthesiological-intensive-care-unit-at-the-university-of-freiburg-to-lsw-summer-series-baden-wrttemberg-by-night-to-dpa-clinic-night-shift-ten-hours-of-responsibility-over-life-and-death-credit-philipp-von-ditfurthdpaalamy-live-news-2GDDM2X.jpg)