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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA N2 <br />.. Director of.AsAssist ance ........................ BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />.......... ............... ......__Gtrsnd.....I811" --- ..............--- <br />City or Village <br />.................... - .._....... 1l - ............................ ............. <br />County <br />15 <br />Old Age Assistance <br />❑ Blind Assistance <br />--------------------------------------------Ho emmib @r 10 --------- -------- -------- 19.39----.- <br />...------------------ ............... 8.'676 .... -.................................. - .................... ----------- <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 2,Blook 3#College Addition to West Lawn <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, 1,,7y release the wiJ]�in�lien this <br />/d.{'! <br />L....., 1941. O <br />...�. . da Y of Register of Deeds <br />... ........................... ........... liur...i.el Anthony..... ...................... Signed .......... _Maxy Gmoline---Xclargney.-------------------- <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .......................................... ..2al_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 />- - - ... Idurel..._l�nthcny.--...- ...... - - <br />County ►Visitor <br />- -Hall. - - -....County <br />----------- Worembar it-, 19 3-9 <br />Received for record Certificate of Award for Application No________ ------------- 9!m676.._.__..__..__._ (Old Age Assistance), (Blind Assist - <br />....o'clock and.................-.._.....minutes-....jM. in compliance with Sec. 68-258 Com St. Su 1937 as amended <br />Assist- <br />ance) at---------�----------------- P � P• PP•, <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939.�/�/�� <br />Book 1 #Page 15 Signed ............ ............ �.1_.�......... ... 'r'�1----------- - <br />Register of Deeds <br />