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This is a True Copy of Certificate Originaly Issued -----N-e-11 ----C--.-Van-de-mo-e-r Director of Assistance DEPARTMENT DECLARATION -C.olja�nb�a.s....... -........................................ -.................... City or Village x Platte l� County i I D NEBRASKA N0 BOARD OF CONTROL OF ASSISTANCE AND CHILD WELFARE OF OWNERSHIP OF REAL ESTATE Application Number 2 ® Old Age Assistance Blind Assistance —14 .....- - ............. ...... 19..3_9..._._. 10-217 In compliance with State Assistance Statutes in Section 68 Comp. St. Supp. 1937, 1 hereby declare the following described real estate as all of the real estate owned in whole or in part by myself and/or my spouse. 1. Legal description of real estab Lot 11 Blk.6 Evans Addn. lj {3109-1751- used by me as place of my residence: Columbus, Nebr. 2. Legal description of all real estate not used by me as place of my residence: ' Lot 2 Blk 38 Wheeler Adda. Grand Island,Nebr. Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May 12, 1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, I hereby release the within lien this ... day of ...................... 1941. M1� L.M.Herrod u Witness VERIFICATION Platte have investigated the - -- ---------------- ---- - ---------------------------------------County to be correct to the best of my knowledge. To: State Assistance Director, 1008 State Capitol, Lincoln, Nebraska **;0-*** ................. I ......... . Register of Deeds Fred Bean ..................................................... Applicant for Assistance records and hereby certify the above description(s) L.M.Herrod, Visitor County Assistance Director or Visitor Hall _-County ............................. Oct-'-----2��- - -.....19. ...-_.: Received for record Certificate qf� Award for Application No.._.14-217 (Old Age Assistance), (Blind Assist- ance) at_._...._2................... o'clock and _.._._`...5 ........ minutes _. j M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended by L. B. 389,53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. o ��GCLe� Rgeorded in Book 1, Page 2. Signed- ------ . (4� Register of Deeds IA.YG.t�i i0. MA I.M. W.