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i This is a True Copy of Certificate Originaly Issued �T NEBRASKA 1�1 2 .. Director of Assistance BOARD OF CONTROL DEPARTMENT OF ASSISTANCE AND CHILD WELFARE DECLARATION OF OWNERSHIP OF REAL ESTATE Grand. 1.s land....................................... City or Village H811 ............ - ........................ ................................................. County 2'7 Ej� Old Age Assistance ❑ Blind Assistance ............................ ............... -NoyQA1btt 1-5 ---- ----- ----._.....19.3.9.--.- ................ --- --- --------------------0--229--------...... -------......---- ------------------- 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 9, Block 8, Bonnie Brae Addition. 2. Legal description of all real estate not used by me as place of my residence: Lot 8, Block 9, Bonnie Brae 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 record,reby release thein lien this Z! .. day of ........�!/Yu!!.... , 1941. ..... I ........ �.. ...... GSC t . Register of Deeds Joe G.Lutge --- -- -- ----------------------- Witness VERIFICATION LewisL.Johnson Applicant for Assistance have investigated the ---------------------------------------_Hall County records and hereby certify the above description(s) to be correct to the best of my knowledge. Muriel Anthony _................................. -................. - ...........------- -------....-..------------------------------------------------- - - County Visitor To: State Assistance Director, Hall ................County 1008 State Capitol, Lincoln, Nebraska ......................... NOV-'--....Z----------.19 34-.-. Received for record Certificate of Award for Application No ................ 4.-229..................... (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 27 Signed ----------- - ----------------------`,d---- Register of Deeds ,......... a. «.. nom.......