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l <br />This is a True Copy of . <br />Certificate Originaly Issued <br />Neil C . Vandemoer NEBRASKA Na <br />........................oirecior.of Assistance........................ BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />& Old Age Assistance <br />❑ Blind Assistance <br />-GrandI_dland <br />..----------------------------........................... <br />City or Village <br />Hall <br />County <br />- Nov 9 ......... -----... -....... --..... 19 <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 />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 />. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May 12, <br />Pursuant to the Enactment,of I <br />release the Old Age Assistance liens of record, I h reby release the win lien this <br />1941, authorizing the Register of Deeds to <br />....'7.1.. day of ..... J/ ! . � , 1941. Register of Deed <br />Muriel ......Anthony. - ..- Signed--------- Mary-A.Davis <br />-- . - ------------ ------ --------- <br />Witness Applicant for Assistance <br />wife of Rufus L.Davis <br />VERIFICATION <br />have investigated the..--.._---------------- ------ <br />Hall .-.............County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />Muriel Anthony <br />County Visitor <br />Hall <br />To: State Assistance Director, ................................. ............ <br />1008 State Capitol, November 18 <br />Lincoln, Nebraska---------------------------------------------------------------------------I9--39----- <br />Received for record Certificate of Award for Application No....._9729.................................. (Old Age Assistance), (Blind Assist- <br />ance) at___... 9. . ... . ....... o'clock and .....-................--minutes ..._k#A. 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 />Book 1. Page 7 - <br />Signed ................... - -..(/? ... ' - - - <br />Register of Deeds <br />