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This is a True Copy of <br />Certificate Originaly Issued NO 8 <br />_Neil.... C__.__Vendemoer NEBRASKA <br />Director 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 />Grand Island .. ---------A1.ov.-----9..--------.._.....-----......_._.....19... 4...._ <br />City or Village <br />................. .............Hall.................................................. -................. .......... .............. <br />1 <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 3, Block 2, Vottle's Addition <br />2. Legal description of all real estate not used by me as place of my residence: <br />Lot 4, Block 2, Voitle's Addition. <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 />941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, I ' ' <br />eby release the n lien this <br />1...7!... day oE.......G.v[zC., ....., 1941. ..............� <br />Register of Deeds tl <br />Muriel -Anthony--------- -------- ........ -- .... Signed ---------..........-----August Boll <br />- ....... ............. ..... ----------------------------------------. <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the........................................._H> <br />................ ...County records and hereby certify the above description(s)to be correct to the best of my knowledge. <br />Muriel_----------- --- -- Anthony <br />.........--- ---------.-- ...--------------------..... <br />CountyVisitor <br />To: State Assistance Director,........._..H811...._--._:..............__....__-County <br />.............. <br />1008 State Capitol, <br />Lincoln, Nebraska .......... ...... Nu.4'0v 1...S.r.-a- ......... 19 39 <br />Received for record Certificate of Award for Application No ............... ',-.3,3..................... (Old Age Assistance), (Blind Assist- <br />ance) at....._.......9....._....I.......0 clock and .......-.-.__........ minutes _ti.!._..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. <br />Signed--------------------------- -- ----- ----- <br />Book 1, Page a• Register of Deeds <br />