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i <br />This is a True Copy of <br />Certificate Originaly Issued 2 <br />N <br />NEBRASKA 1� - <br />Director of Assistance - BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />...................... �r..., a .....I.jaand.. ........... <br />City or Village <br />................. -- .................. ilal1.- - - -..... ----------- . -- --......--- <br />County <br />22 <br />Rg Old Age Assistance <br />❑ Blind Assistance <br />---------------------------------------------8o--remb_er-----1�....--............. 19.-..39.._ <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 1,Block 13. -John Voitle Addition. <br />2. Legal description of all real estate not used by me as place of my residence: <br />Fart of Lot 7,Blook 13,John Voitle Addition <br />Lot $,Block 13,John Voitle 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 />1941, authorizing the Register of Deeds to release the Old Age Assistance liens of record, -hereby release the ithin lien this v <br />. of Deeds <br />�... day of .......i(I'M-1 <br />..... , 1941. ............... Register <br />f . ........... Signed- Martha 7.1eTV.--than3...Q................ -- <br />....--- <br />- _..fir -i Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the -- --------------------------- .............. County records and hereby certify the above description(s) <br />to be correct to the best of my knowledge. <br />----------------------------- -iiur 1.01.....Ant ho np------- -- .............. ------------_-- <br />County Visitor <br />To: State Assistance Director, - ......... _............... ..Ha11................. -.... ............ County <br />1008 State Capitol, <br />Lincoln, Nebraska ................. -................. NOT...2 ..... 119. <br />Received for record Certificate of Award for Application No.............x"139 ............ (Old Age Assistance), (Blind Assist- <br />ance) ................. .. <br />o'clock and _.._3.Q..............minutes .4—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,Page 22-------------------------------------------- <br />I -- - <br />Signcd -R aster of Deeds <br />