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1 <br />This is a True Copy of <br />Certificate Originaly Issued �T <br />NEBRASKA lr 0 29 <br />Director of Assistance BOARD OF CONTROL <br />DEPARTMENT OF ASSISTANCE AND CHILD WELFARE <br />DECLARATION OF OWNERSHIP OF REAL ESTATE <br />[IC Old Age Assistance <br />❑ Blind Assistance <br />Grand .......... --------------.--Novembe-r 1-T. <br />_... --- <br />_9.....- _ <br />-.... <br />City or Village <br />Hall <br />County <br />�-311 <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 measplace of my residence: <br />Lot 7, Block 141, UPRR 2nd Addition. <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 by release the wt lien this <br />1941. ... I........ <br />....2... day of ..... .....yRegister of Deeds <br />Mur-le-1--Anthony----------------__--------_---------------------------------------- Signed--------- ............... D_e-rie.r..al----B---Hiddle.eon................ ..... ............ <br />Witness Applicant for Assistance <br />VERIFICATION <br />have investigated the .......... ................------ Hall._.... ----..____..-._-_...-__..-_.____-______County records and hereby certify the above descriptions) <br />to be correct to the best of my knowledge. <br />To: State Assistance Director, <br />1008 State Capitol, <br />Lincoln, Nebraska <br />MurielAnthony <br />--------- ---------- ---.................. <br />County Visitor <br />Hall County <br />- ------------ -- ...... -Coun <br />-------------------Nov --------` <br />------------ ------------ 19 - 9 -- <br />Received for record Certificate of Award for Ap lication No. ---81-1 <br />-------3--------------------- -- (Old Age Assistance), (Blind Assist- <br />ance) at .......... -...... $.---- ----------- o'clock and........3 ...........minutes ....... .... 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 29 Signed-------... <br />Register of Deeds <br />lY uoWliM Ce. Mll1! �l4Me, 1p11. <br />