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This is a True Copy of <br />Certificate Originaly Issued N° <br />NEBRASKA <br />......................... <br />--------•---•-------•• Director -of Assistance••-----•--------•-•--••- BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />..... -.--..._Mood..-River-- ---------------------- ----------- <br />City or Village <br />..------- -- - Aal' - .......... ---------- <br />County <br />- ------County <br />19 <br />M Old Age Assistance <br />❑ Blind Assistance <br />.................... mber .-_1#...--------...-•---........19...39 .--_ <br />-------------------------- ............... - ...... o�... .C. ................... ...-- .................... --------- ............... <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 />2. Legal description of all real estate not used by me as place of my residence: <br />Lots 7 & 8,Blook 3,Clark's Addition to Hood River. <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 reby release the in lien this <br />heti(: D ' <br />7! ... day of. ...... 1941. ...............�1�c .. ..:........ <br />Register of Deed <br />------------------------...-•------................. ..el....Antr-han----------------------------------------- Signed .......... ....................... 11-.-H..Yulmer---------------. --.. ----.-....-----------------------------• <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the ----------------------------------- <br />Ha ---1-1 ------------ <br />-------------------- ..........County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />f3K3E3E3E3E3E3E3 <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />Mur -i e1...-. Ant ho_np-------------------.....-- --- - <br />County Visitor <br />..... ------------------ 1 ....................... ----------...... County <br />- -------------------------- NO -------24.._.....------------ <br />Received for record Certificate of Award for Application No -------------------- ----1-9-9.___._..__.._-..- (Old Age Assistance), (Blind Assist. <br />) -------o'clock and _..._-3.Q ........... minutes A& M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended <br />ante at ------------- -------------- <br />by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. <br />Book l ,Page 19 <br />Signed _...-..... _Ul...'z�"`'`�------------- '`'-� - - <br />Register of Deeds <br />