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C .. <br />This is a True Copy of <br />Certificate Originaly Issued <br />Neil C.Vandemoer <br />NEBRASKA NO 3 <br />...........................i.re......of.Assi•-.-.. e ........................ BOARD OF CONTROL RECEIVED <br />Se2 <br />Director of Assistance <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE Directorlof9Assistanw <br />DECLARATION <br />Wood River, Nebr. <br />------- ------ <br />City or Village <br />-----------------------Hal 1................... ----------------.-................... <br />County <br />OF OWNERSHIP OF REAL ESTATE <br />[� Old Age Assistance <br />❑ Blind Assistance <br />---------------------------- Septembe r---22- <br />- - 199 <br />.-570 <br />Application Number <br />In compliance with State Assistance Statutes in Section 68 Comp. St. Supp. 1937, 1 hereby declare the following described <br />real estate as all of the real estate owned in whole or in part by myself and/or my spouse. <br />1. Legal description of real estate used .by me as place of my residence: <br />L 7, 8, 9, 10, 11, and 12; Block 4; Brett & Johnson's Additions; <br />Hall County <br />2. Legal description of all real estate not used by me as place of my residence: <br />Pursuant to the Enactment of L. B. 89, by the nth Session of the Legislature of the State of Nebraska and approved -May 12, <br />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of recor I hereby release within lien this <br />2, ... da of �L......, 1941. <br />-�- .�.....� .. <br />y Register of Deeds <br />D.-w.Reed Signed--------------Geo.Pg. T._Ho.................old <br />--------- .... -........................ ---- ------ <br />Witness Applicant for Assistance <br />VERIFICATION <br />I have investigated the .......... Hall _.....County records and hereby certify the above description(s) <br />- -- -----------.........-----------... <br />to be correct to the best of my knowledge. <br />D.... X.. Reed <br />- -................. .................................. ----- ----- ---- ---.------- <br />County Assistance Director or Visitor <br />To: State Assistance Director, ----------- ----------------------------- Ha -ll- ------------ ---- -..... county <br />--- - - <br />1008 State Capitol, <br />Lincoln, Nebraska --------------- N9m,:...... 7.a.... ------- 19---3.9 <br />Received for record Certificate&Award for Application No....._�.-.57Q--._..--------------------- (Old Age Assistance), (Blind Assist- <br />ance) at ........ _._. A_... -....-..o'clock and ...-_...._............. minutes —Y.9M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. <br />a <br />Recorded in Book 1, Page 3. -- ---- -Register of Deed:- - <br />