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This is a True Copy of <br />Certificate Originaly issued 6 <br />N2 <br />Neil C . Vandea6er NEBRASKA l� U <br />..... .... Director of Assistance---...... BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />Jj Old Age Assistance <br />❑ Blind Assistance <br />Grand Island Nov. 9, <br />..................... --_................ ---------------------------------------------------------.......................... ................ <br />City or Village <br />Hall 9-2S <br />---------------------------------------------------- ------ ..........------.......--- <br />County 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 />Lot 7, Block 3, Voitle's Addition. <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 55th 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 record, I ebyy release <br />-the <br />( 'n lien this <br />...day of ....... /' rpt 4:...., 1941. ...............iC ......... <br />Register of Deed <br />Muriel Anthony - ............. Rufus L. Davis <br />Signed - ...... ------------------. _......... <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ........................ <br />............H�1--..-........................... .........-County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />--------------------------------------------------Muriel Anthony------.... ....................... <br />County IMesie' Bi+aeioro"Visitor <br />- ................... ........... -Hall . - __..County <br />November -lg-,-19--3f�- <br />. ... -- -- <br />Received for record Certificate of Award for App_K._�.lication No...9.�..-.22'.8............................_.-----.. (Old Age Assistance), (Blind Assist- <br />ance) at....._..._._...9._............ o'clock and ..... _.7..-. ......... minutes ..M. 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. A <br />Book 1, Page 6. Signed -----------------......(2. ` ..._ `'`y ............... _........... <br />Register of Deeds <br />