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This is a True Copy of Certificate Originaly Issued N2 NEBRASKA l� . . Director of Assistance BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE Grand eland---------•------- ........ _...... ........ City or Village Hal.1 County 23 [jj Old Age Assistance ❑ Blind Assistance ................. ........... .......... .................... _November..4-...._.....19.....3 ._ ...........................9'139 Application Number In compliance with State Assistance Statutes in Section 68 Comp St. Supp. 1937, 1 hereby declare the following described real estate as all of the real estate owned in whole or in part by myself and/or my spouse. 1. Legal description of real estate used by me as place of my residence: Lot laBlook 13,John Voitle Addition 2. Legal description of all real estate not used by me as place of my residence: Part of Lot 7aBlook 13 sJohn Voitle Addition. Lot 9aBlook 13,John Voitle Addition. Pursuant to the Enactment of L. B. 89, by the 55th Session of the Legislature of the State of Nebraska and approved May 12, 1941, authorizing the Register of Deeds to release the Old Age Assistance liens of re co / I here�ase�thq�within lien this !.....day of....... 11!1!!....., 1941. ... U✓J 9'... Register of Deeds ........ -....................... --1[ur1e1..AAthon.Y........ - --- -- . - .. - .... Signed -................... ..........--------------- _ L..Omer---------............................... Witness Applicant for Assistance VERIFICATION have investigated the ............._...... __---------------- Hall-. ....... ......... ..............County records and hereby certify the above description(s) to be correct to the best of my knowledge. To: State Assistance Director, 1006 State Capitol, Lincoln, Nebraska ------------.............................. �_el- Ant bony.......................... - ... - --- - County Visitor ........... ................ _ -.11811---......---------....------County --------------------------NO-T— 24----------------193 - Received for record Certificate of Award for Application No ------ ___----- --- S-j-�i8----- ---------- (Old Age Assistance), (Blind Assist- ance) at.._._..$ ........ _ .............o'clock and ........30 .......... minutes ...A,. -M. in compliance with Sec. 68-258 Comp. St. Supp., 1937 as amended by L. B. 389, 53rd Session Nebraska Legislature, or 68-413 Com. St. Supp., 1939. Book 1,Page 23 Signed-- .................................. (/�1--e - -- Register of Deeds