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This is a True Copy of <br />Certificate Originaly Issued <br />NEBRASKA NO. 28 <br />................ Director.of.Assistance........................ <br />BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />[I Old Age Assistance <br />❑ Blind Assistance <br />- d <br />GranI.ssl. .and - ..................- 19 <br />- -------------d .... ....n ._..... --.......... ... <br />City or Village <br />Hall......_ -Q --------------------------------------------- - <br />County 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 />East 30 Peet of Lot 6 & West 6 feet of Lot 7, Block 9, Original town. <br />2. Legal description of all real estate not used by me as place of my residence: <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 h!NgbX release Z.tthew tl�--�l en this ...day of....... ..L✓!k«..... 194L ................... U� <br />........... <br />Register of Deeds <br />Muriel Anthony Carrie Gunnarson <br />- Signed--------------------------------- -................................................- <br />Witness Applicant for Assistance <br />VERIFICATION <br />I have investigated the ------------------------Hall ........... County records and hereby certify the above descriptions) <br />to be correct to the best of my knowledge. <br />Muriel Anthony <br />-------------------- -------------------------- --- -------------------------------------------------- ........... ....................... -.... -..... <br />County 4pis V w Visitor <br />To: State Assistance Director,Hall _...........County <br />---------------------------------..................... 1008 State Capitol, Nov. 2i} <br />Lincoln, Nebraska __--19_14.._. <br />Received $ved for record Certificate of Award for Application No..._.. --._-.__$30-2-..-------._._.-_ (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 />d <br />Book 1 Page 29 Signed ....... ......... .......... .... <br />- ;............._.... �. - <br />Register of Deeds <br />