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This is a True Copy of <br />Certificate Originaly Issued N° <br />NEBRASKA l� <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />.............. Island.-- -------------------------------------- <br />City or Village <br />Hall <br />County <br />16 <br />® Old Age Assistance <br />❑ Blind Assistance <br />------------------------------------...----NOT= Or ....... .......... -........ _..... 19 -.39.- <br />8-6-9.8 <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 4,Block 20Aallich's Addition. <br />2. Legal description of all real estate not used by me as place of my residence: <br />Fraction <br />of <br />Lot <br />1,Blook <br />21, Aallich's <br />Addition. <br />Fraction <br />pf <br />Lot <br />I oBlook <br />3# Bonnie Brae <br />Addition. <br />Pursuant to the Enactment of L. B. 89, by the 66th 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 eby release the vA" lien this <br />2 ... day of li�iyLL..... , 1941. ............................. . <br />Register of Deed <br />- -- - --------- ..Yur-1e1--...Antrho.UY - Signed - dwar;1 ..0....11.0.1�11�1aA-----------_----------- <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the - .................................... <br />..�11...................................... County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />-------------------------... -------....----------- -•Yur-Lel -Anthany...................... -.... -........... <br />County Anain-.�:.�. Visitor <br />To: State Assistance Director, ------------ ' . Rail .... ........ ...-County <br />1008 State Capitol, <br />Lincoln, Nebraska -------------- November _._18_s.. ----------- 19._..��__ <br />Received for record Certificate of Award for Application No ------- __.$t-6$$.._.-------------------- (Old Age Assistance), (Blind Assist- <br />ance) at.-..-.... -------------- _........ o'clock and ................. - ........ minutes .-A 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 />Book 1,Pege 16 <br />Signed..... _....._.................. . � ... - <br />Register of Deeds <br />